- Current background with UB-04 claims processing with an In-depth understanding of hospital billing form requirements (UB-04)
- Knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes
- Complete understanding of the revenue cycle process to include prior authorization, billing, insurance appeals, and hospital collections
- Understanding of payor contracts
- Independently, review, submit/follow up, document and collect billing on denied hospital medical claims
- Resolve denied hospital medical claims in a quick and accurate time frame
- Effectively communicate and correspond with insurance companies and healthcare providers
- Write medical appeals using clear and simple language to optimize the recovery of denied claims
- Effectively communicate and collaborate with internal and external departments to resolve claims
- Ability to navigate multiple computer programs and platforms
- Be willing to learn and leverage new systems/programs and training resources to apply to the claims process
- Meet the daily and monthly performance goals
- Bachelor's degree preferred
- 5-10 years of experience with collecting hospital medical bills and writing appeals (ERISA experience a plus)
- Proficient in computer skills including Windows PC applications, typing, navigation and willingness to learn new computer systems/programs
- Ability to communicate effectively with excellent verbal and written communication skills
- Ability to multi-task complex cases while remaining productive and focused on a daily basis
- Excellent organizational skills with focus on attention to detail
- Provide outstanding professional customer service to clients, team members and external stakeholders
- Successful completion of new hire process and continual training
- Desire to be productive in a fast paced environment while maintaining a positive atmosphere
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Senior Analyst - Dallas, United States - ERISA RECOVERY GROUP LLC
Description
Job Description
Job DescriptionAre you a high-performing collections analyst and underpaid? Join a team where compensation and opportunities have no limits
We Offer:
-FREE Meals
-PTO
-Full Benefits & 401K
-Bonus Structure
-Casual work attire environment
ERISA Recovery are experts in collecting complex and aged claims through the Federal ERISA appeals process. We are a fast-growing organization located in Dallas, TX. If you would like to join a friendly, passionate team with limitless potential, we'd love to meet you. This extraordinary opportunity to advance your career and make a difference is now.
We are looking for a Senior Medical Hospital Collections Specialist who is a master at multitasking, team-driven, focused, thrives in a fast-paced environment, thinks outside the box and able to work independently.
Candidates with an in-depth knowledge of hospital medical billing, collections, writing appeals and the reimbursement claims process should apply.
Essential responsibilities and duties
Desired skills and Qualifications
Please note: Only applicants with vast knowledge of hospitals claims denials need apply.
ERISA Recovery believes in a work-life balance and offers a competitive compensation package including a flexible work schedule, 401k, bonus plan and medical and dental benefits.
ERISA Recovery is an Equal Opportunity Employer