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    Independent Dispute Resolution Specialist - DALLAS, United States - Exceptional Healthcare Inc.

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    Description
    Exceptional healthcare is a premier, integrated healthcare provider that offers emergency medical
    care, inpatient and outpatient services in major metropolitan areas. We are a dynamic, quickly
    growing company based in Dallas, TX but located in several states. We are currently in the process
    of hiring several Independent Dispute Resolution Specialist to perform collection activities on NSA
    Negotiations. To succeed in this role, you must possess in-depth knowledge of medical insurance
    policies. The ideal candidate must also be able to demonstrate excellent written and verbal
    communication skills, as they will be communicating with various insurance companies. This
    position requires an individual that can multi-task, problem solve, and manage time effectively.
    Pay: $ $20.00 per hour.

    Job Requirements/Qualifications
    • 1 YEAR OF MEDICAL INSURANCE COLLECTION EXPERIENCE (REQUIRED).
    • Medical Insurance Collection: 1 year (Required)
    • Insurance Negotiation: 2 years (Required)
    • Medical Follow up: 1 year (Required)
    • Excellent organization, time management, self-starting, analytical, and detailed
    • Insurance Negotiation experience; knowledge of insurance plans providers- BCBS, UHC, Aetna/Cigna or self-funded/commercial providers required
    • Knowledge of Electronic Medical Records, Collections, and Hospital Billing Experience (Required)
    • Knowledge of EOB'S, HIPPA, ICD-10 codes, and CPT codes. Essential Job functions and responsibilities
    • Investigates, and responds to inquiries from payors
    • Research error & makes necessary corrections for clean claim production and submission
    • Actively follow-up and negotiate on all assigned payers, and facilities
    • Follow up on posting errors
    • Review Insurance EOB and initiate appeals, negotiations, Center of Medicare Service Complaints as necessary
    • Resolves insurance requests, inquiries, concerns, in an expedient and respectful manner
    Schedule
    • Hybrid position, partly remote and partly in office
    • 8 hour shift
    • Monday to Friday

    Benefits

    • Health insurance
    • 401(k)
    • Dental insurance
    • Vision insurance
    • 401(k) matching
    • Life insurance
    • Paid time off (PTO)

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