Healthcare Insurance AR & Denials Specialist
$14 - $16 per hourHealthcare Support Staffing
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description • Review and analyze insurance claims with accounts receivable balances that have aged beyond 30 days old or claims denied in the Insurance Follow-Up Module and A/R reports.
- Make use of all available tools (websites, clearinghouse, EMR and PM Systems) to efficiently identify reasons for non-payments and follow the steps needed for the insurance to adjudicate the claims.
- Review and work the claims on Hold due to rejections.
- Follow up on claims over 30 days old to identify the reason for non-payment and contact the insurance to adjudicate/pay the claims.
- Gather and submit necessary medical documentation (History and Physicals, Letters of Medical Necessity, etc.) so the payers can adjudicate the claims.
- Document Notes (Notes, Alert, FinNotes) in the patient accounts/claims to record steps taken to adjudicate the claims and collect balances and to document conversations with insurance/patients.
- Maintain documentation of all follow-up/collection activities including, but not limited to e-mails, requests to write off accounts and approvals in the designated drives.
- Identify the trends in denials by running and reviewing monthly payment and denial reason reports.
- Post denial write offs per the EOB or as approved by management.
- Focus on the patient/Insurance requests by following through on them until they are resolved to the patients’ satisfaction and within the insurance guidelines.
- Document issues and follow up on responses from all the teams in a timely manner.
- Experience collecting from insurers and electronic claims process
- Strong experience following claims and billing process on-line
- Competitive salary $14 - $16 per hr pending experience
- Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
- Fun and positive work environment
Vacancy posted 4 days ago
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