Employer Industry: Revenue Cycle Management in Healthcare

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on the resolution of outstanding insurance claims
- Engage with a variety of insurance carriers and enhance your professional network
- Work in a mission-driven organization focused on ethical behavior and patient care

What to Expect (Job Responsibilities):
- Contact insurance carriers daily to follow up on past due amounts for outstanding medical claims
- Maintain an accurate aging of assigned accounts and perform AR analysis and follow-ups
- Investigate and create appeals to protest denials or incorrect payments
- Collaborate with various RCM departments to resolve claims payment issues
- Uphold compliance with company policies and ensure adherence to state and federal regulations

What is Required (Qualifications):
- High School Diploma or GED
- Minimum of 3 years of experience managing Accounts Receivable and following up with payers
- At least 1 year of experience in effective communication with insurance payers
- 3 years of experience with medical terminology, ICD10, CPT, HCPCs coding, and HIPAA requirements
- Proficiency in data processing and analytical skills, including Microsoft Excel and Office Suite

How to Stand Out (Preferred Qualifications):
- Experience working with commercial, government, and state insurance payers
- Familiarity with medical practice management software and electronic medical records
- Strong problem-solving skills and ability to manage high volumes of work independently

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