We are looking for an individual who is high-energy, experienced in hospital claims processing, who has recent hands-on experience in hospital billing system (EMR) software, who is comfortable and efficient working in Excel.
Duties will include but are not limited to.....
- Claims processing for COVID lab tests. This includes clearing edits and correcting insurance information.
- Working claims denials -- resolving issues, appealing, resubmitting corrected claims.
- For patients identified as uninsured - reviewing the registration information and validating either that the patient is truly uninsured, or identifying a billable insurance coverage. Making changes to the account where necessary, specifically by adding the insurance information to a claim that was previously identified as 'Self-Pay'.
- Adding the condition code 'DR' (disaster related) to the claims. This is required by the payers for them to be able to identify that the claim is COVID-related.
- Removing the bill hold from claims that were held previously, before issues were resolved.
- For outpatient claims: reviewing remittance advices from insurance companies, to ensure payment, monitor for denials, and expedite re-billing when needed.
For immediate consideration please APPLY NOW or email resume to email@example.com