- Responsible for quality and continuous improvement within the job scope
- Responsible for all actions/responsibilities as described in Company controlled documentation for this position
- Contributes to and supports the corporation's quality initiatives by planning, communicating, and encouraging team and individual contributions toward the Corporation's quality improvement efforts
- Review and interpreting insurance explanation of benefits (EOB) documents
- Check insurance payments for accuracy and compliance with contracts
- Follow up with the insurance company on unpaid or rejected claims. Resolve issue and re-submit claims
- Respond to inquiries from insurance companies, patients and providers Ability to look up ICD diagnosis and CPT treatment codes from various resources
- Be able to provide excellent communication, time management, and organizational skills
- Responsible to follow-up with correspondence and telephone inquiries from third party payers and patients
- Reviews follow-up reports and takes appropriate action to achieve prompt resolution of open accounts
- Notifies supervisor of problems arising from erroneous codes, missing information, error/edit messages, or any data payment entry procedures or patient inquiries not covered by specific guidelines and procedures. Reviews assigned insurance claims for accuracy and information
- Demonstrate ability to be flexible, work collaboratively with internal and external departments, as applicable to accomplish the requirements of the department
- Demonstrated service and success in teamwork and consistent high productivity and quality
- Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the HC
- Answers patient telephone inquiries and resolves patient problems and billing disputes, updates patient accounts, and takes appropriate action to achieve prompt resolution of open accounts. Notifies supervisor of problems arising from erroneous codes, missing information, error/edit messages, or any data or payment entry procedures or patient inquiries not covered by specific guidelines and procedures.
- Knowledge of insurance guidelines for commercial health plans including Medicare, state Medicaid and workers comp.
- Good understanding of current Medicare Compliance and HIPAA regulations
- Knowledge in Health Insurance reimbursement
- Experience in
- Knowledge in medical billing software
- Strong Customer Services Skills
- Knowledge of medical terminology
- Knowledge of CPT-4, ICD-10 coding is preferred
- Bilingual Spanish speaking
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Accounts Receivable Specialist-Nevada - Las Vegas, United States - Intermountain Healthcare
Description
Job Description:
This position is responsible for follow up on all outstanding A/R; this includes both commercial and government
insurance payers, self-pay accounts, and resolution of denials. This position conducts follow up process activities
through phone calls, online processing, and written correspondence, and must be able to communicate effectively
with payer representatives to support denial resolutions.
* - 3 years of experience in medical billing
Microsoft Office:
Word, Excel, Outlook
Physical Requirements:
Anticipated job posting close date:
04/29/2024
Location:
Nevada Central Office
Work City:
Las Vegas
Work State:
Nevada
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$ $24.02
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.
Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
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