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Account Manager / Representative
Weatherford, TX
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denial prevention specialist.weatherford, texas (remote)posted 9 days ago job detailssummary$23.63 - $23.64 per hourtemporaryhigh schoolcategoryoffice and administrative support occupations reference AB_5073090 job details Job Summary As a Medical Claims Appeals Specialist, you will research, resolve, and prepare appeals for claim denials across various payors including Medicare, Medicaid, Commercial, and Managed Care. You will analyze payment trends to maximize collections in a fast-paced environment. Responsibilities Review Explanation of Benefits (EOB) and analyze payer denials by denial groupers to submit successful appeals. Contact insurance carriers and patients to resolve outstanding balances, underpaid claims, and verify insurance. Make necessary account adjustments as required by plan reimbursement guidelines. Act as a reliable liaison between clinical departments and the management team. Qualifications & Skills Must reside in the Greater DFW, TX area (open to remote TX candidates able to commute to DFW as requested). 2+ years of recent experience in medical claims recovery, physician billing, and/or collections. Hands-on, proven experience actively preparing and submitting medical appeals Must be able to read, write, and speak English fluently High School Diploma required (Associate's Degree preferred). Familiarity with
CMS 1500, ICD-9, CPT
coding, and insurance regulations preferred. Excellent communication, customer service, and accurate alpha/numeric data entry skillssalary: $23.63 - $23.64 per hourshift: Firstwork hours: 7:30 AM - 4
PMeducation:
High SchoolResponsibilitiesReview Explanation of Benefits (EOB) and analyze payer denials by denial groupers to submit successful appeals. Contact insurance carriers and patients to resolve outstanding balances, underpaid claims, and verify insurance. Make necessary account adjustments as required by plan reimbursement guidelines. Act as a reliable liaison between clinical departments and the management team.
SkillsExplanation of Benefitsaccount adjustmentsanalyze payer denialsQualificationsYears of experience: 2 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
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Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).This posting is open for thirty (30) days. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.