Payer Compliance Specialist I

🔥 15 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $16 - $26 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚔 Compliance

🚫👨‍🎓 No degree required

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US Anesthesia Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2012

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🔬 Science

Healthcare Insurance • Pharmaceuticals • Science

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.

📋 Description

• Analyzing allowed amounts received on USAP claims, to determine appropriateness per contract. • Reviewing electronic and manual postings associated with variances. • Appeal for re-processing and/or request corrections as necessary. • Working to identify and resolve payer issues that negatively impact receivables. • Frequently communicating with various internal USAP RCM departments as well as insurance companies. • Demonstrating a positive demeanor, professionalism, and polished verbal and written communication skills. • Meeting deadlines and handling potentially stressful situations and multiple tasks.

🎯 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