Medical Biller/AR Denial Specialist - Skilled Nursing Facilities
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LimitlessliHealthcare
Philippines, US Eastern Standard Time (EST) – 9am to 6pmFull-TimeMiddle
Salary not disclosed
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Job Details
- Languages
- English
- Experience
- Minimum 2 years
- Required Skills
- Microsoft ExcelHIPAA
Requirements
- Minimum 2 years in AR or healthcare billing
- Preferably 2 years in skilled nursing or long-term care
- Familiarity with PCC
- Familiarity with David's System
- Knowledge of Medicare billing
- Knowledge of Medicaid billing
- Knowledge of private insurance billing
- Strong attention to detail
- Proficient in MS Excel
- Excellent verbal and written English communication skills
- Reliable computer and noise-cancelling headset
- Second monitor for enhanced productivity
- Stable internet connection
- Backup internet connection
Responsibilities
- Follow-up with payers to ensure timely resolution of all outstanding claims via phone or websites
- Meets and maintains daily productivity/quality standards established in departmental policies
- Utilizes the workflow system, client host system, and other available tools to collect payments and resolve accounts
- Adheres to the policies and procedures established for the client/team
- Knowledge of timely filing deadlines for each designated payer
- Performs research regarding payer-specific billing guidelines as needed
- Ability to proactively analyze, identify, and trend claims issues to reduce denials
- Communicate with management about any issues and trends identified
- Initiate appeals when necessary
- Understanding of under or over-payments and credit balance processes
- Use, protect, and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
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