Insurance Follow-up, Ambulatory Denials

🔥 14 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $18 - $27 / hour

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Banner Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Follow up with assigned payers regarding denials, including authorization and eligibility denials • Coordinate and facilitate patient billing and collection activities • Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans • Reconcile, balance, and pursue account balances, payments, and denials • Research payments, denials, and accounts to identify short/overpayments, contract discrepancies, financial-class issues, and errors • Make appeals and corrections as necessary • Build working relationships with business units, hospital departments, and provider offices • Identify payment issue trends and communicate solutions to internal and external customers • Respond to incoming calls and make outbound calls to resolve billing, payment, and accounting issues • Help the patient financial services team reduce accounts receivable balances and achieve collection goals • Document information in systems, provide statistical data, prepare issue lists, and communicate accurately with payers • Work independently under general supervision and report to a Supervisor or Manager

🎯 Requirements

• Minimum of 1 year experience in Medical Insurance AR and/or Physician Fee for Service Billing • Minimum of 1 year experience writing appeal letters for payer/payor denials • Intermediate to Advanced skill level in Microsoft Excel • High school diploma/GED or equivalent working knowledge • Knowledge of patient financial services, financial, collecting services or insurance industry processes • Ability to manage multiple tasks simultaneously with minimal supervision • Ability to work independently • Strong interpersonal, oral, and written communication skills • Strong knowledge of common office software, word processing, spreadsheet, and database software • Must live in one of the listed states: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY

🏖️ Benefits

• Great Place To Work® Certification™ workplace • Stimulating and rewarding career opportunities • Total rewards package

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