Professional Billing Insurance Follow Up Analyst

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🕒 Março 31

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Westerkamp Group, LLC

Westerkamp Group, LLC

- funcionários

🤝 B2B

⚕️ Seguro de Saúde

B2B • Healthcare Insurance

A Westerkamp Group, LLC é uma empresa de gestão do ciclo de receita que auxilia prestadores de serviços de saúde a maximizar o desempenho financeiro por meio de experiência, modelos comprovados e estratégias específicas para prestadores. Com sede em Lisle, Illinois, a empresa oferece serviços para otimizar faturamento, cobranças, gestão de sinistros e interações com pagadores para organizações prestadoras de serviços.

Descrição

• Contact third party payers to verify eligibility, obtain claim status and take steps to properly resolve CMS 1500/837P claims • Utilize the various internal and online follow up tools provided by Westerkamp Group, LLC and our clients to resolve accounts • Critically analyzing account balances, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), denial reason codes (CARC), and remittance advice remark codes (RARC) on CMS-1500 /837P claim forms to determine the root cause of denials • Maintain workqueues and track trends that can be escalated to management • Clearly notate accounts per Westerkamp Group or client specific standards • Review paper correspondence and take necessary action to resolve insurance payer requests • Analyze and submit cash posting payment and contractual adjustment errors • Ability to adhere to strict compliance guidelines related to HIPAA

🎯 Requisitos

• Self-motivated and ability to work well within a team and independently • Strong attention to detail • Excellent telephone and written communication skills • Ability to work with multiple patient accounting and billing systems • Willingness to learn new application systems and unique billing and collection requirements of our client • Proficiency in computer skill • Teamwork and a positive attitude • Motivated to learn and adapt to changing environments and multiple projects • High School Diploma or GED equivalent • Epic PB collections and follow-up experience preferred • Hospital Billing Professional Billing

🏖️ Benefícios

• Competitive salary and benefits compensation

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