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Tricity Pain Associates is a leading chronic pain management company that serves our state of Texas. We help relieve people of chronic pain and help them move towards a better quality of life. Our pain management doctors and staff are a dynamic team of professionals, who excel in keeping our patients healthy and pain free.
We are seeking a full-time Insurance Accounts Receivable Specialist for our Revenue Cycle Team. The ideal candidate will obtain prior authorizations for all managed care plans to include Medicare/Medicaid plans. We are seeking a candidate that can function in an interactive and fast-paced environment, all while providing dynamic customer service!
Responsibilities
· Verification of insurance benefits if missed by front office.
· Able to research denied CPT code/dx codes with comparison to the LCD/NCD requirements.
· Effectively identifies trends and inhibit timely payment.
· Monitors accounts receivable follow-up work queues and reports.
· Work an average of 40 to 80 denials per day based on supervisor requirements and accounts assigned.
· Works closely with insurance carriers for reimbursement requirements to ensure timely payment.
· Reviews outstanding AR accounts and contacts insurance for reimbursement explanation.
· Provides clear and accurate documentation of all contacts with internal or external customers.
· Quickly becomes familiar with duties and performs them independently, accurately, efficiently, promptly, and recognizing their importance and relationship to patient care.
· Consults with appeals department for disputed medical necessity denied claims.
· Works and understands electronic claim interchange and the life cycle of the claims process.
· Ability to read and interpret electronic remittance advice.
· Takes Incoming calls from payors, patients, and all clinical personnel.
· Regular attendance and punctuality.
· Contributes to team effort by accomplishing related results as needed.
· Ensures that all processing and reporting deadlines are consistently achieved.
· Adhere to all standard operating procedures.
· Performs any other functions as required by management.
Qualifications and Education Requirements
· Minimum 2 years’ experience in Revenue Cycle Insurance Collection Processes.
· Understanding of Medicare, Medicaid, and third-party billing/coding guidelines.
· Experience with multiple billing and EMR Systems.
· Experience with computerized billing software, EMR, and interpreting EOBs.
· Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding.
Job Type: Full-time
Pay: $18.00 - $21.00 per year
Benefits:
Schedule:
Work Location: In person
Full Time
$52k-68k (estimate)
05/27/2024
06/15/2024