Sutherland
10,000+ employees
Founded 1986
🤝 B2B
🤖 Artificial Intelligence
☁️ SaaS
💰 $300M Secondary Market on 2014-10
B2B • Artificial Intelligence • SaaS
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
🔥 42 minutes ago
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Sutherland
10,000+ employees
Founded 1986
🤝 B2B
🤖 Artificial Intelligence
☁️ SaaS
💰 $300M Secondary Market on 2014-10
B2B • Artificial Intelligence • SaaS
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
• Handling a variety of tasks to ensure payment collection activity is resolved, disputed or sent to Legal • Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online • Providing ongoing appropriate collection activity on appeals • Requesting additional information from Patients, Medical Records, and others as needed • Communicating with insurance plans and researching health plans for benefits and types of coverage • Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed • Handling other duties as assigned
🎯 Requirements
• Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, collections) procedures and policies • Full understanding of Managed Care collections • Familiarity with terms such as MMC, HMO, PPO, IPA and Capitation and how these payers process claims • Knowledge of Managed Care contracts, Contract Language and Federal and State requirements • Intermediate understanding of Hospital billing form requirements (UB04) and HCFA 1500 • Medical claims and/or hospital collections experience • Minimum high school education, technical training, and/or other related experience • Must have excellent Internet connectivity
🏖️ Benefits
• Medical insurance • Equipment provided
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