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Audit & Resolution Representative – Anesthesia

Audit & Resolution Representative – Anesthesia

Location: Remote

Job Description

  • Accountable for client performance while ensuring all goals are met
  • Daily clean claim effort: research, corrections, improvements/edits
  • Assist with phone calls to/from patients, insurance carriers and clients (inbound and outbound) if needed
  • Assist on clearinghouse rejections
  • Work various reports such as, but not limited to, Pre-collections and AR follow-up
  • Ensure workflow is on par; monitor and report progress; advise Manager of issues
  • Process account corrections and adjustments
  • Identify and resolve billing/reimbursement issues
  • Produce, review and correct collector write-off reports
  • Perform projects: participate as needed in projects requested by Manager and/or clients and complete them as assigned
  • Other duties as assigned

Qualifications

  • Minimum of 2 Years Medical Billing experience in AR follow-up
  • Ability to manage day-to-day workload and assist team members as needed
  • Ability to work well within a team environment
  • Ability to contend with and communicate professionally with patients, insurance companies, associates, management and clients
  • Possess excellent problem solving skills
  • Highly efficient and able to motivate others
  • Possess a positive work ethic and strong job focus
  • High level of proficiency with multiple applications including, but not limited to, MS Office (excel and word), with the ability to quickly learn and pick up new systems
  • Strong analytical skills with acute attention to detail
  • Strong conceptual understanding of billing and collection processes
  • Ability to organize workload and work independently
  • Ability to work overtime when needed
  • Ability to interpret information on EOBs, correspondence, insurance websites and execute appropriate actions
  • Ability to research, interpret, educate/communicate insurance billing policy updates, LCDs, etc.
  • Must have strong conceptual understanding of billing and collection processes
  • Excellent written, verbal and typing skills
  • Experience with quality analysis, clean claim processing and outsourcing; preferred

Job Type: Full-time


Application Questions

  • How many years of EOB interpretation experience do you have?
  • How many years of Healthcare experience do you have?
  • How many years of Insurance denials, rejections, and errors experience do you have?
  • How many years of Medical Billing experience do you have?
  • How many years of Patient Account Management experience do you have?
  • Are you willing to undergo a background check, in accordance with local law/regulations?

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