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Reimbursement Specialist ii

Company: Insight Global
Location: South Jordan
Posted on: June 6, 2021

Job Description:

Job Description Correct claims pre-submission for identified edits that will result in a claim denial or delay Follow up on denied and rejected claims as identified through carrier denials/rejections via software or EOBs Follow up on unpaid claims in an aged approach for final claim resolution Communicate payer requirements or updates to clients and leadership Proactively assist clients in identifying specific claim edits to avoid future claim denials Communicate effectively and proactively with clients to avoid escalation Track A/R progress and profitability of client accounts Identify and analyze reimbursement trends within the client office key Identify and communicate payer trends Minimum Requirements 3 years of experience within Medical Billing Ability to read an EOBUnderstanding of terms like deductible, payable, Medicare, etc. Desired Skills Knowledge of Medicare, Medicaid and commercial payors claims and appeals processing requirements Intermediate knowledge of ICD, CPT and HCPCS coding, ability to ready EOB and ERA files General understanding of CCI edits and carrier specific coding edits Strong working knowledge of Windows, MS Word, Internet Explorer, Excel, , and Outlook Must have a good understanding of the Medical Billing Process and Industry Standards Ability to manage and fulfill client expectations independently by managing client questions, processes and escalations Excellent written and oral communication skills Proven track record or writing compelling appeals with favorable outcomes Excellent communication and organizational skills with a customer service focus Ability to prioritize effectively and handle shifting priorities professionally Knowledge of medical computerized billing and scheduling software systems Ability to communicate with various business contacts in a professional and courteous manner Self-starter with the ability to organize work for maximum efficiency and attention to quality Proven ability to meet deadlines in a fast-paced environment Ability to grasp new concepts and procedures quickly, with a desire to learn

Keywords: Insight Global, South Jordan , Reimbursement Specialist ii, Other , South Jordan, Utah

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