- Have proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC and Provider-based billing and AR follow-up knowledge
- Have a solid understanding of billing regulations related to Medicare, Medicaid and various private medical insurances
- Be able to function independently to complete timely and thorough follow-up on unresolved hospital and physician claims
- Have strong proficiency in managing denied claims, including the ability to determine the root cause of denials, and providing requested information to health plans to resolve identified issues
- Have a strong proficiency in preparing and submitting appeals and reconsiderations to health plans
- Adapt quickly to proprietary tools and technology
- Other duties as assigned
- High School Diploma (College degree preferred)
- Minimum of 5 years of Hospital and Physician claims follow-up and denials management required
- Excellent written and oral communication skills
- Excellent organizational, time management, and interpersonal skills
- Proficiency in Microsoft applications
- Proficiency with various hospital EMRs: Cerner, Epic, McKesson, CPSI, Meditech, Etc.
- Proficiency with various billing systems: Waystar, SSI, Quadax, Availity, NaviNet, etc.
- Team player
- Independent thinker and problem-solver
- Commitment to core values of Team, Integrity, Growth, and Innovation
- Hourly wage based on experience and annual performance bonus incentive
- Sign on bonus
- Full benefits to include 401k with company match, progressive PTO policy with paid holidays
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Account Receivable Specialist - Remote, United States - Infinx
2 weeks ago
Description
Ni2 Health is actively recruiting an Accounts Receivable Specialist to join our Revenue Cycle Team. The ideal candidate is action oriented and looking to learn and grow with Ni2 to advance within the organization. The Accounts Receivable Specialist will:
ABOUT NI2 HEALTH
Awarded Consulting Magazine's "Best Small Firms to Work for 2019 and 2020," Ni2 Health ranks highly in employee morale and firm culture. At Ni2 Health, you will discover challenges that excite you as you develop professionally and explore different career paths based on your interests and abilities. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done.
Breaking the mold is a vital component to what we do at Ni2, and driving sustained value to our clients is paramount. Our team members and clients are completely satisfied with our service-based approach. If you are looking to be mentored as a new graduate, come explore Ni2 Health ) and join a team of stars.
APPLICANT REQUIREMENTS AND SKILLS
Position is remote.
Minimum Job Requirements
General Skills
Compensation Package