Insurance Specialist – Credit Resolution

🔥 13 horas atrás

❄️ Minnesota – Remoto

❄️ Minnesota – Remote

💵 $20 - $22 / hora

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🔒 Seguros

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Meduit | Driving Revenue Cycle Performance

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2017

🏥 Saúde

💼 Consultoria

🛡️ Seguros

Healthcare • Consulting • Insurance

Meduit | Impulsionando o Desempenho do Ciclo de Receita é uma empresa de gestão de ciclo de receita na área da saúde que combina operações especializadas de RCM com inteligência artificial, automação de processos robóticos e análises avançadas para ajudar hospitais, sistemas de saúde e grandes práticas médicas a acelerar o fluxo de caixa, reduzir negações de reivindicações e melhorar a experiência de pagamento dos pacientes. A empresa oferece serviços completos — pré-registro, faturamento e acompanhamento, resolução de negações, escritório comercial estendido, redução de contas a receber antigas, recuperação de dívidas incobráveis, recrutamento e consultoria — juntamente com ofertas de tecnologia, incluindo MeduitAI™, SARA (uma assistente autônoma de receitas supervisionada), análises preditivas e automação de conversação/pagamento.

Descrição

• Review accounts for credit balances and denials, determine root cause, and take corrective action through refunds, adjustments, rebilling, or appeals • 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 according to payer and regulatory guidelines • Ensure account activity advances resolution with a one-touch mindset • Maintain thorough, audit-ready documentation and accurate account notes • Meet productivity 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 process-improvement feedback • Initiate and track refunds, adjustments, and reapplications accurately and timely

🎯 Requisitos

• High School Diploma/GED • Minimum of 3 years of hands-on denials and credit resolution experience • Proven ability to recover revenue from complex insurance denials and credits • 2+ years of 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 protecting patient health information • Must be legally authorized to work in the United States at the time of hire • Company does not provide employment visa sponsorship • Successful completion of a pre-employment background check • Candidates residing in 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