
2 - 10 employés
Fondée en 2021
🤲 Charité
🌍 Impact social
Charity • Social Impact
Coral Connect est une plateforme innovante qui connecte les donateurs aux efforts de conservation des récifs coralliens. Elle met en avant la croissance, la santé et les progrès de chaque impact caritatif, augmentant ainsi la transparence et l'engagement des donateurs autour de la restauration et de la protection des récifs.
🕒 il y a 24 jours
🗣️🇺🇸🇬🇧 Anglais requis
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2 - 10 employés
Fondée en 2021
🤲 Charité
🌍 Impact social
Charity • Social Impact
Coral Connect est une plateforme innovante qui connecte les donateurs aux efforts de conservation des récifs coralliens. Elle met en avant la croissance, la santé et les progrès de chaque impact caritatif, augmentant ainsi la transparence et l'engagement des donateurs autour de la restauration et de la protection des récifs.
• Post insurance payments, patient payments, EFTs, checks, lockbox payments, and credit card transactions accurately and timely. • Review EOBs, ERAs, and payer remittance files. • Enter contractual adjustments, write-offs, coinsurance, deductibles, copays, and patient responsibility amounts. • Process ERA files and resolve posting exceptions and discrepancies. • Identify denials, underpayments, overpayments, recoupments, and payment discrepancies. • Assign accounts to appropriate work queues and flag reimbursement trends and payer issues. • Reconcile daily deposits, payment batches, bank deposits, and remittance totals. • Research and resolve unapplied or unidentified payments. • Identify credit balances and overpayments and assist with refund processing. • Post specialty pharmacy claim payments and adjustments and reconcile pharmacy payments. • Post and review payments for home infusion nursing, drug, supply, and administration services. • Maintain posting accuracy, conduct self-audits, follow client-specific guidelines, and document posting activities. • Collaborate with billing, accounts receivable, denial management, client, and RCM teams. • Support client inquiries, special projects, and reporting requests. • Maintain HIPAA and regulatory compliance and protect patient and client confidentiality.
• Minimum 1-2 years of healthcare payment posting experience preferred. • Experience with infusion services, specialty pharmacy, home infusion, physician billing, or hospital outpatient billing preferred. • Experience working with EOBs, ERAs, EFTs, and payment reconciliation preferred. • Understanding of medical billing and reimbursement processes. • Knowledge of insurance payment posting and contractual adjustments. • Familiarity with CARC and RARC denial codes. • Understanding of Medicare, Medicaid, and commercial payer remittances. • Strong data entry and reconciliation skills. • Excellent attention to detail and accuracy. • Ability to identify payment trends and discrepancies. • Proficiency in Microsoft Excel and billing software systems. • High School Diploma or GED required. • Ability to work remotely with limited travel to client locations, internal business meetings, and other locations as needed.
• Health insurance • Dental insurance • Vision insurance • Life insurance • 401(k) • Paid Time Off
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