Professional Billing Insurance Follow Up Analyst

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🕒 il y a 2 mois

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Westerkamp Group, LLC

Westerkamp Group, LLC

- employés

🤝 B2B

⚕️ Assurance santé

B2B • Healthcare Insurance

Westerkamp Group, LLC est une entreprise de gestion du cycle des revenus qui aide les prestataires de soins de santé à maximiser leurs performances financières grâce à une expérience éprouvée, des modèles éprouvés et des stratégies spécifiques aux prestataires. Basée à Lisle, dans l'Illinois, l'entreprise propose des services pour optimiser la facturation, les recouvrements, la gestion des réclamations et les interactions avec les payeurs pour les organisations prestataires.

Description

• Contact third party payers to verify eligibility, obtain claim status and take steps to properly resolve CMS 1500/837P claims • Utilize the various internal and online follow up tools provided by Westerkamp Group, LLC and our clients to resolve accounts • Critically analyzing account balances, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), denial reason codes (CARC), and remittance advice remark codes (RARC) on CMS-1500 /837P claim forms to determine the root cause of denials • Maintain workqueues and track trends that can be escalated to management • Clearly notate accounts per Westerkamp Group or client specific standards • Review paper correspondence and take necessary action to resolve insurance payer requests • Analyze and submit cash posting payment and contractual adjustment errors • Ability to adhere to strict compliance guidelines related to HIPAA

🎯 Exigences

• Self-motivated and ability to work well within a team and independently • Strong attention to detail • Excellent telephone and written communication skills • Ability to work with multiple patient accounting and billing systems • Willingness to learn new application systems and unique billing and collection requirements of our client • Proficiency in computer skill • Teamwork and a positive attitude • Motivated to learn and adapt to changing environments and multiple projects • High School Diploma or GED equivalent • Epic PB collections and follow-up experience preferred • Hospital Billing Professional Billing

🏖️ Avantages

• Competitive salary and benefits compensation

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