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Medical Claims Billing Specialist (AR Manager)

Posted 3 months agoViewed

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💎 Seniority level: Manager, 3+ years

💸 Salary: 40000.0 - 55000.0 USD per year

🔍 Industry: Healthcare technology

🗣️ Languages: English

⏳ Experience: 3+ years

Requirements:
  • High School Graduate.
  • 3+ years experience in a physician medical billing office.
  • Experience with major payers such as Anthem, Medicare/Medicaid, United Healthcare.
  • Athena EHR experience preferred.
  • Experience working from home preferred.
  • Advanced Google Sheets skills preferred.
  • Understanding of revenue cycle optimal performance.
  • Must comply with HIPAA rules and regulations.
  • Excellent written and verbal communication skills.
  • Great time management skills.
  • Ability to work independently and multi-task in a fast-paced environment.
Responsibilities:
  • Management of accounts receivable, including analysis of aged AR for root cause issues.
  • Investigate denial sources, resolve and appeal denials.
  • Make independent decisions regarding claim adjustments, resubmission, and appeals.
  • Collaborate with internal teams and care center staff.
  • Support large care center go-lives that may include travel.
  • Work with Revenue Optimization team for reimbursement alignment.
  • Perform denial analysis using the Trizetto platform.
  • Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality.
  • Drive achievement of daily and monthly KPIs.
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