Surgical AR Representative

Job not on LinkedIn

🔥 3 minutes ago

🐊 Florida – Remote

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💵 $20 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 2%

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Logo of PRM

PRM

1 - 10 employees

Founded 1997

💼 Consulting

🏠 Real Estate

🏢 Enterprise

Consulting • Real Estate • Enterprise

PRM is Arizona’s premier homeowner and condominium association management company, serving communities for over 30 years. We specialize in providing comprehensive property management services that enhance the quality of life for residents. Our dedicated team works closely with community boards to manage various needs, ensuring safety, integrity, and a thriving community environment. Our mission is to deliver exceptional service tailored to the unique priorities of each association we serve, promoting strong relationships and commitment to community values.

📋 Description

• Oversee out-of-network billing and collections success for 3-4 medical practices operating in different states from the central billing office in West Palm Beach • Identify denial trends and manage appeals for underpayment • Identify, articulate, address, and demonstrate root cause of non-payment or underpayment • Identify trends in billing, coding, denials, and underpayment • Update plan IDs and patient/payor demographic information • Identify payor issues and trends • Manage rejections and denials • Answer medical record requests related to claim resolution • Manage system and clearinghouse rejections • Navigate insurance portals • Respond to medical records requests • Train others • Perform other duties as assigned

🎯 Requirements

• High School Diploma or Equivalent • 2-3 Years full-time surgical billing reimbursement experience • Full understanding of surgical billing from hospital and ASC environment • Superior knowledge of coding guidelines and reimbursement schemes • Exceptional organizational and computer skills • Willing and able to follow directions and adhere to priorities • Conversational knowledge of medical terminology, abbreviations, techniques, and surgical procedures • Excellent written and oral communication along with solid analytical skills • Ability to work independently and with a team • 3 years eClinical Works RCM experience in patient account and denial management

🏖️ Benefits

• Health, Vision and Dental • Paid holiday and PTO • FSA • High income potential with base and bonus structure

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