Insurance Specialist – Credit Resolution

🔥 8 horas atrás

Candidatar-se

Encontrar Vagas Remotas Similares

Configurar Alerta de Email para Novas Vagas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Meduit | Driving Revenue Cycle Performance

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2017

💼 Consultoria

🏥 Saúde

📦 Logística

Consulting • Healthcare • Logistics

Meduit | Impulsionando o Desempenho do Ciclo de Receita é uma empresa de gestão de ciclo de receita (RCM) na área da saúde, orientada pela tecnologia, que combina a expertise em RCM com IA, automação de processos robóticos, análises preditivas e ferramentas de engajamento do paciente para otimizar o fluxo de caixa, reduzir recusas e melhorar a satisfação do paciente para hospitais, sistemas de saúde e grandes práticas. Seus serviços incluem soluções pré-serviço, pré-registro centralizado, financiamento de pacientes, serviços de escritório de negócios, resolução de recusas, cobrança e acompanhamento, liquidação de contas a receber antigas, serviços de reembolso governamental e ofertas de IA como MeduitAI™, automação conversacional e robótica SARA, pré-autorização automatizada e acompanhamento de sinistros. A Meduit também oferece consultoria, relatórios e análises, staffing, recuperações especializadas e serviços completos de escritório de negócios para ajudar os provedores a acelerar a receita e mitigar desafios operacionais.

Descrição

• Review accounts for credit balances and denials, determine root cause, and take appropriate corrective action through refund, adjustment, rebill, or appeal • Review and resolve credit balances across all payers, prioritizing regulatory accounts such as Medicare credit balance reporting • Submit timely, accurate appeals and process credit resolutions in alignment with payer and regulatory guidelines • Ensure account activity supports forward movement toward resolution with a one-touch mindset • Maintain thorough, audit-ready documentation and accurate account notes • Meet established productivity (APH) and quality standards while prioritizing high-risk, high-dollar, and timely filing accounts • Collaborate cross-functionally to resolve issues and prevent recurrence • Identify trends and escalate systemic issues, providing feedback for process improvement • Initiate and track refunds, adjustments, and reapplications accurately and timely

🎯 Requisitos

• High School Diploma/GED • Minimum of 3 years of experience in hands-on denials and credit resolution, with a proven ability to recover revenue from complex insurance denials and credits • 2+ years Medical Billing/Follow-up experience • Rural Health Clinic and Critical Access Healthcare experience • Proficiency with PC-based applications, including Microsoft Outlook, Word, and Excel • Download speed of 50MB or higher and upload speed of 20–25MB or higher • Access to a secure and private workspace where protected health information cannot be heard or seen by others • Must be legally authorized to work in the United States at the time of hire • The company does not provide employment visa sponsorship for this position • Pre-employment background check required • Candidates residing in the state of New York cannot be considered

🏖️ Benefícios

• Medical, dental, and vision insurance • HSA and FSA available • 401(k) with company match • Paid Wellness Time and Holidays • Employer paid life insurance and long-term disability • Internal growth opportunities