RCM Insurance Specialist
New
T
The Emily ProgramHealthcare
Fully Remote, Monday-Friday: flexible, ~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 ExcelMicrosoft OfficePowerPoint
Requirements
- Minimum of 3 years of billing and accounts receivable experience in a healthcare office environment.
- Proficiency in Microsoft Office, including Word, Excel, PowerPoint, and Outlook.
- Ability to learn and adapt to internal software programs.
- Post-secondary degree preferred.
- Coding experience is a plus.
Responsibilities
- Contact insurance carriers and third parties daily to collect outstanding balances.
- Resolve insurance disputes, denials, and non-payment issues.
- Adhere to payer-specific policies, protocols, and timely filing limits.
- Appeal insurance claims when appropriate.
- Reconcile outstanding balances to ensure all resolution efforts are exhausted prior to write-off.
- Research payer refund requests, recoupments, and credit balances for accuracy.
- Maintain familiarity with payer contracts to ensure compliance.
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