Healthcare Claim Analyst
Title: Healthcare Claims Associate Representative
Location: Remote
Pay: $17/Hr.
Description:
This position includes fiduciary duty or access to financial systems. Please review the attachment thoroughly.
The Accounts Receivable Processor will be responsible for all facets of accounts receivable to ensure a complete review of outstanding accounts receivable with a strong concentration in revenue cycle management. The Accounts Receivable claim examiner must have a thorough knowledge of government, commercial, and other types of insurance billing guidelines in multiple states to demonstrate effective judgment when processing all claims with outstanding balances. Other responsibilities include:
Research/rectify third party denials/edits, requests for information and other related correspondence
Process a variety of Third Party Administrator (TPA) payments
Willingness to learn different claim platforms within eviCore and also client claims platforms when necessary
Analyzes and clears payment variances
Verify patients' eligibility, coverage, and benefits and identify authorization requirements relates to working aged AR.
Follow-up on outstanding account balances at 30-days from the date of service in accordance with client and organizational protocol with an emphasis on maximizing client satisfaction and provider profitability.
Process timely premium payments to providers
Research and answer accounts receivable discrepancies
Monitors payer responses, and other software as necessary to ensure prompt payment
Skills:
Candidate must have an in-depth knowledge accounts receivable and related functions
Proficient in Microsoft Office Products (Word, Outlook, Excel)
Do not submit any workers who cannot perform multi step, complex functions within Microsoft Office.
2-4 years claims handling and accounts receivable experience
Can work both independently and collaboratively with a team
Highly oriented to detail, planning and organizing skills
Ability to work in a fast paced environment
Time management and documentation skills
Ability to perform basic mathematics calculations
Exceptional reconciliation, analytic skills, and the ability to interpret EOBs/EOPs
A high level of accuracy and attention to detail and have a dedicated approach to work
Keywords:
Education:
High school Diploma or GED
2 year minimum experience in medical billing and/or claims accounts receivable
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