Medical Insurance A/R Specialist
Kingsport, TN Kingsport, TN Full-time Full-time Estimated:
$25.
7K - $32.
6K a year Estimated:
$25.
7K - $32.
6K a year 5 days ago 5 days ago 5 days ago Job description To function as a member of the clerical team performing a supportive role in the delivery of patient care that is safe, effective, patient-centered, timely, efficient, and equitable.
Perform claims resolution and/or medical billing and reconsiderations/appeals or claims denials in Centricity.
Conduct AR follow-up on back-end denials.
Understand the process and order of how to contact insurance carriers and have the claims reprocessed, and then move onto to a reconsideration, and then the different levels of appeals.
Demonstrate a detailed understanding of how to read and interpret EOB's and denials from all insurance carriers (including the financial components such as co-pays, deductibles, and co-insurance).
Possess a thorough knowledge of appeals processing from beginning to end across all payer categories based on insurance denials.
Differentiate between best practices of appeal, coding review, credentialing review and/or adjustment.
Be able to follow up on claims worked within the last 30 days to ensure they are reprocessing, or the appeal records were received and are in queue to be reviewed.
Contact insurance companies and utilize web portal and websites for appeal, eligibility, remittance, and payment information.
Candidate must be able to report and communicate issues and trends.
Have an understanding of an A/R and know how to handle the A/R as far as which claims to work first and put as priority.
Have a steady workflow and be able to present to Revenue Cycle Manager and Director of Operations where you are with Insurance AR.
Excellent organizational, communication & time management skills.
Assist Front Receptionist with daily task and coverage PRN.
Knowledge/Ability to:
Establishes and maintains positive interpersonal relationships and promotes effective teamwork with patients, families, coworkers, and the community to meet customer service goals.
Demonstrates effective use of medical terminology and EMR system.
Demonstrates knowledge and awareness of policies and procedures.
Demonstrates effective problem solving, critical thinking, planning, and decision-making skills.
Able to handle stressful or difficult situations.
Demonstrates dependability and initiative as a member of a team.
Demonstrates effective customer service skills and communication skills (verbal and written).
Demonstrates effective time management skills including priority setting.
Ability to multi-task in a fast-paced setting.
Ability to interact with diverse groups of patients, members of the public and other healthcare providers.
Ability to follow instructions as directed and to ask for clarity if not understood.
Job Type:
Full Time We are an Equal Opportunity Employer Job Type:
Full-time
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Day shift Monday to Friday
Experience:
Medical Billing:
1 year (Required) ICD-10:
1 year (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
$25.
7K - $32.
6K a year Estimated:
$25.
7K - $32.
6K a year 5 days ago 5 days ago 5 days ago Job description To function as a member of the clerical team performing a supportive role in the delivery of patient care that is safe, effective, patient-centered, timely, efficient, and equitable.
Perform claims resolution and/or medical billing and reconsiderations/appeals or claims denials in Centricity.
Conduct AR follow-up on back-end denials.
Understand the process and order of how to contact insurance carriers and have the claims reprocessed, and then move onto to a reconsideration, and then the different levels of appeals.
Demonstrate a detailed understanding of how to read and interpret EOB's and denials from all insurance carriers (including the financial components such as co-pays, deductibles, and co-insurance).
Possess a thorough knowledge of appeals processing from beginning to end across all payer categories based on insurance denials.
Differentiate between best practices of appeal, coding review, credentialing review and/or adjustment.
Be able to follow up on claims worked within the last 30 days to ensure they are reprocessing, or the appeal records were received and are in queue to be reviewed.
Contact insurance companies and utilize web portal and websites for appeal, eligibility, remittance, and payment information.
Candidate must be able to report and communicate issues and trends.
Have an understanding of an A/R and know how to handle the A/R as far as which claims to work first and put as priority.
Have a steady workflow and be able to present to Revenue Cycle Manager and Director of Operations where you are with Insurance AR.
Excellent organizational, communication & time management skills.
Assist Front Receptionist with daily task and coverage PRN.
Knowledge/Ability to:
Establishes and maintains positive interpersonal relationships and promotes effective teamwork with patients, families, coworkers, and the community to meet customer service goals.
Demonstrates effective use of medical terminology and EMR system.
Demonstrates knowledge and awareness of policies and procedures.
Demonstrates effective problem solving, critical thinking, planning, and decision-making skills.
Able to handle stressful or difficult situations.
Demonstrates dependability and initiative as a member of a team.
Demonstrates effective customer service skills and communication skills (verbal and written).
Demonstrates effective time management skills including priority setting.
Ability to multi-task in a fast-paced setting.
Ability to interact with diverse groups of patients, members of the public and other healthcare providers.
Ability to follow instructions as directed and to ask for clarity if not understood.
Job Type:
Full Time We are an Equal Opportunity Employer Job Type:
Full-time
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Day shift Monday to Friday
Experience:
Medical Billing:
1 year (Required) ICD-10:
1 year (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
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