
1001 - 5000 employees
Founded 2020
âď¸ Healthcare Insurance
đ§Ź Biotechnology
Healthcare Insurance ⢠Healthcare ⢠Biotechnology
Solaris Health is a leading national healthcare platform committed to enhancing access to specialty healthcare and continually improving patient outcomes. With over 1 million unique patients annually and 730+ providers across the country, Solaris Health operates 236+ patient offices in 14 states, focusing on innovative delivery of high-quality, value-driven care.
đ May 22
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1001 - 5000 employees
Founded 2020
âď¸ Healthcare Insurance
đ§Ź Biotechnology
Healthcare Insurance ⢠Healthcare ⢠Biotechnology
Solaris Health is a leading national healthcare platform committed to enhancing access to specialty healthcare and continually improving patient outcomes. With over 1 million unique patients annually and 730+ providers across the country, Solaris Health operates 236+ patient offices in 14 states, focusing on innovative delivery of high-quality, value-driven care.
⢠Perform billing-related tasks as assigned, including data entry, claim review, charge review, and accounts receivable follow-up ⢠Focus on resolving entry-level insurance denials, such as those related to medical records, eligibility, and coordination of benefits (COB) ⢠Complete daily tasks within assigned work queues based on manager direction and established workflows ⢠Utilize CBO Pathways, payer websites, billing systems, and training materials to determine appropriate actions for resolving unpaid or underpaid claims and authorizing procedures ⢠Identify potential issues related to payer requirements, provider credentialing, or coding, and escalate to management as appropriate ⢠Review reports to identify unpaid claims and potential revenue opportunities ⢠Communicate effectively with providers, patients, coders, and other stakeholders to ensure accurate and timely claims processing ⢠Adhere to departmental workflows, operational policies, compliance guidelines, and regulatory requirements, including FGP and patient confidentiality standards ⢠Provide input on system edits, process improvements, policies, and billing procedures to support revenue cycle optimization ⢠Participate in meetings and workgroups, complete all required training sessions, and actively seek additional training when needed ⢠Read and apply policies and procedures to make informed decisions, coordinate functions with team members, and explain processes clearly to others ⢠Make system corrections and resubmit claims as necessary to meet payer requirements ⢠Performs other position related duties as assigned
⢠High school diploma or equivalent required ⢠Previous experience in a customer service or healthcare setting preferred ⢠Excellent interpersonal and communication skills ⢠Strong customer service orientation and a friendly, approachable demeanor ⢠Basic knowledge of medical facility layout and department functions (training provided) ⢠Dependability and punctuality ⢠Ability to work independently and as part of a team ⢠Cultural sensitivity and ability to interact respectfully with diverse populations ⢠Skill in using computer programs and applications including Microsoft Office
⢠Health insurance ⢠Dental insurance ⢠Vision insurance ⢠Life Insurance ⢠Pet Insurance ⢠Health savings account ⢠Paid sick time ⢠Paid time off ⢠Paid holidays ⢠Profit sharing ⢠Retirement plan
Apply Nowđ May 21
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