RCM Insurance Specialist

New
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Accanto HealthHealthcare / Behavioral Health
Fully Remote, 7:00am-4:00pm ESTFull-TimeMiddle
Salary22 - 25 USD per hour
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Job Details

Experience
Minimum of 3 years
Required Skills
Microsoft ExcelPowerPoint

Requirements

  • Minimum of 3 years of billing and accounts receivable experience in a healthcare office environment.
  • Proficiency using Microsoft Office suite including Word, Excel, PowerPoint, and Outlook.
  • Ability to learn and adapt to internal software programs.
  • Understanding of and ability to adhere to payer policies, protocols, and contracts.
  • Knowledge of timely filing limits and appeal processes.
  • Post-secondary degree preferred.
  • Coding experience is considered a plus.

Responsibilities

  • Contact insurance carriers and 3rd parties daily to collect outstanding balances.
  • Resolve disputes, claim denials, and non-payment issues.
  • Adhere to payer policies, protocols, and timely filing limits.
  • Appeal claims when appropriate and within filing parameters.
  • Reconcile outstanding balances ensuring exhaustion of resolution efforts prior to write-off.
  • Research payer refund requests, recoupments, and credit balances for accuracy.
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22 - 25 USD per hour
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