Sutherland
10,000+ employees
Founded 1986
🏥 Healthcare
🛡️ Insurance
✈️ Travel
💰 $300M Secondary Market on 2014-10
Healthcare • Insurance • Travel
Sutherland is a global company specializing in digital transformation and business process outsourcing services. They leverage advanced technologies such as Artificial Intelligence, automation, and cloud engineering to drive digital performance and optimize critical business operations. Sutherland offers a variety of services including digital CX, enterprise technology solutions, and intelligent automation across multiple industries such as banking, healthcare, and telecommunications. Their focus is on delivering measurable outcomes, enhancing customer experiences, and enabling business agility through innovative digital solutions.
Medical Billing/AR Specialist
🔥 2 hours ago
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Sutherland
10,000+ employees
Founded 1986
🏥 Healthcare
🛡️ Insurance
✈️ Travel
💰 $300M Secondary Market on 2014-10
Healthcare • Insurance • Travel
Sutherland is a global company specializing in digital transformation and business process outsourcing services. They leverage advanced technologies such as Artificial Intelligence, automation, and cloud engineering to drive digital performance and optimize critical business operations. Sutherland offers a variety of services including digital CX, enterprise technology solutions, and intelligent automation across multiple industries such as banking, healthcare, and telecommunications. Their focus is on delivering measurable outcomes, enhancing customer experiences, and enabling business agility through innovative digital solutions.
📋 Description
• Conduct collection activity on appealed claims by contacting government agencies and third-party payers via phone, email, or online • Provide ongoing appropriate collection activity on appeals • Request additional information from patients, Medical Records, and others as needed • Communicate with insurance plans and research health plans for benefits and types of coverage • Review contracts and identify billing or coding issues • Request re-bills, secondary billing, or corrected bills as needed • Handle other duties as assigned
🎯 Requirements
• Thorough understanding of the revenue cycle process, from patient access through Patient Financial Services billing and collections procedures and policies • Full understanding of Managed Care collections • Familiarity with MMC, HMO, PPO, IPA, and Capitation terminology and payer claim processing • Knowledge of Managed Care contracts, contract language, and federal and state requirements • Intermediate understanding of hospital billing form requirements, including UB04 and HCFA 1500 • Medical claims and/or hospital collections experience • Minimum high school education, technical training, and/or other related experience • Residents of the United States only • Must be authorized to work in the United States • Internet access of at least 5 Mbps upload and 30 Mbps download • In-house network and hard-wired Internet connection capable of continuously supporting call quality and high-speed response rates • Wireless and/or satellite Internet Service Providers are not compatible with the systems • Quiet, distraction-free, and secure place to work
🏖️ Benefits
• We will supply equipment • Remote work • Internet connectivity and hard-wired Internet connection requirements supported for home working
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