Payer Compliance Specialist I

đź•’ July 10

🤠 Texas – Remote

info

đź’µ $16 - $26 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

đźš” Compliance

🚫👨‍🎓 No degree required

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Logo of US Anesthesia Partners

US Anesthesia Partners

5001 - 10000 employees

Founded 2012

đź’Ľ Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

US Anesthesia Partners is a leading provider of comprehensive anesthesia services, dedicated to delivering exceptional patient care and operational excellence. Founded by a team of forward-thinking anesthesiologists, USAP specializes in various anesthesiology areas including cardiovascular care, obstetrics, and pediatrics. With a network of thousands of clinicians and hundreds of facility partners across the nation, they serve over two million patients annually, aiming to redefine the standards of quality in anesthesia services.

đź“‹ Description

• Analyzing allowed amounts received on USAP claims • Determining appropriateness per contract • Reviewing electronic and manual postings associated with variances • Appealing for re-processing and/or requesting corrections as necessary • Identifying and resolving payer issues that negatively impact receivables • Communicating with various internal USAP RCM departments as well as insurance companies • Demonstrating a positive demeanor and professionalism • Meeting deadlines and requirements set forth by the management team • Handling potentially stressful situations and multiple tasks at the same time

🎯 Requirements

• High school graduate or equivalent required • Minimum of 2 years experience in healthcare revenue cycle • Functional knowledge of Excel and Word required • Basic knowledge of managed care programs and healthcare billing requirements necessary • Analytical abilities to identify and resolve underpayments relating to specific payers, coding issues, etc. are required • Good mathematical, verbal, and written communication skills • Experience gathering and reporting information • Must display a teamwork attitude and possess good interpersonal skills • Ability to work independently with limited supervision • Familiarity with basic medical terminology and concepts preferred • Knowledge of CPT, ICD-9, and ASA coding preferred

🏖️ Benefits

• Eligible for a quarterly bonus

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