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2. Work and track refunds via refund portal for the states that require live checks.
3. Identify and process credit balances by state (as required) by voiding in the applicable insurance portal, subject to management pre-approval.
4. Appropriately identify, address, submit and process credit balance adjustments.
5. Understand and interpret Explanation of Benefits (EOB)/Remittances.
6. Responsible for reviewing and addressing incoming mail correspondence.
7. Effectively communicate and collaborate with all levels of staff/management and other internal departments.
8. Complete and maintain facility reports on a regular basis and reviews for any issues.
9. Answer phone calls from patients, insurance companies and collections agencies and manage refund requests according to process and procedures.
10. Follow up on returned/voided checks.
11. Meet 30-day credit review expectation and clearly document all claim follow up/activity within the billing system.
12. Maintain expected daily/weekly productivity by completing work assignments and taking proper actions to resolve open credit balances.
13. Provide coverage for other Overpayment Specialists when necessary.
14. Gain knowledge of billing requirements by reviewing insurance contracts and understanding billing language and rates. Maintain knowledge of payer guidelines and procedures by staying up to date with insurance updates.
15. Maintain strict confidentiality of patient personal information.
16. Maintain HIPAA compliance.
17. Understand business implications of decisions.
18. Perform other tasks, duties and projects as requested by Management.
Requirement description :Full Time
$60k-77k (estimate)
05/05/2024
05/18/2024