Payer Compliance Specialist I

🕒 July 10

🤠 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

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

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 • Determining appropriateness per contract • Reviewing electronic and manual postings associated with variances • Appealing for re-processing and/or requesting corrections as necessary • Identifying and resolving payer issues that negatively impact receivables • Communicating with various internal USAP RCM departments as well as insurance companies • Demonstrating a positive demeanor and professionalism • Meeting deadlines and requirements set forth by the management team • Handling potentially stressful situations and multiple tasks at the same time

🎯 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