Billing/Collections Specialist
Estimated Pay | $22 per hour |
---|---|
Hours | Full-time, Part-time |
Location | Yorkville, Tennessee |
Compare Pay
Estimated Pay$16.11
$21.73
$30.72
About this job
Job Description
PLEASE TAKE THE REQUIRED ASSESSMENT:
https://assessment.predictiveindex.com/JFT/9702b117-b9dd-433a-8a90-2b7867086c9c?type=candidateba
Core Responsibilities:
• Research payer denials related to referral, pre-authorization, notifications, medical necessity, non-covered services, and billing resulting in denials and delays in payment.
• Independently write professional appeal letters.
• Submit detailed, customized appeals to payers based on review of medical records and in accordance with Medicare, Medicaid, and third-party guidelines as well as WCR policies and procedures.
• Submit retro-authorizations in accordance with payor requirements in response to authorization denials.
• Identify denial patterns and escalate to management as appropriate with sufficient information for additional follow-up, and/or root cause resolution.
• Make recommendations for additions/revisions/deletions to claim edits to improve efficiency and reduce denials.
• Identify opportunities for process improvement and actively participate in process improvement initiatives.
Customer Service Standards:
• Support co-workers and engage in positive interactions.
• Communicate professionally and timely with internal and external customers.
• Ability to stay calm under pressure and deal effectively with insurance company associates