Billling/Collections Specialist Position Available In Gibson, Tennessee
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Job Description
Billling/Collections Specialist 3.5 3.5 out of 5 stars 4 Newbern Highway, Yorkville, TN 38330 PLEASE
TAKE THE REQUIRED ASSESSMENT
https://assessment.predictiveindex.com/JFT/9702b117-b9dd-433a-8a90-2b7867086c9c?type=candidateba
Core Responsibilities:
Research payer denials related to referral, pre-authorization, notifications, medical necessity, non-covered services, and billing resulting in denials and delays in payment. Independently write professional appeal letters. Submit detailed, customized appeals to payers based on review of medical records and in accordance with Medicare, Medicaid, and third-party guidelines as well as WCR policies and procedures. Submit retro-authorizations in accordance with payor requirements in response to authorization denials. Identify denial patterns and escalate to management as appropriate with sufficient information for additional follow-up, and/or root cause resolution. Make recommendations for additions/revisions/deletions to claim edits to improve efficiency and reduce denials. Identify opportunities for process improvement and actively participate in process improvement initiatives.
Customer Service Standards:
Support co-workers and engage in positive interactions. Communicate professionally and timely with internal and external customers. Ability to stay calm under pressure and deal effectively with insurance company associates
