[Remote] Patient reputed company Representative

Note: The job is a remote job and is open to candidates in USA. reputed company is a reputed company organization seeking a Patient reputed company Representative. The role involves performing billing and follow-up for hospital or professional claims, ensuring accurate and timely submission of claims, and resolving denials to maximize reimbursement according to payer agreements.

Responsibilities

• Performs accurate and timely billing of insurance claims in accordance with policies and procedures of Maui Health and in compliance with State/Federal regulations, payer health plan guidelines, and reputed company-party payer requirements
• Expedites larger dollar accounts to ensure reputed company optimization for reputed company payment
• Follows up timely on payment with insurance companies, agencies, payers and/or patients ; researches and takes action as required on outstanding accounts
• Audit payments and appeals (as needed) to ensure Maui Health has received corrected, expected payment from payers in accordance with contract terms
• Responds to patient and insurance inquiries promptly and courteously
• Performs audits as needed for quality control and to ensure efficient follow up
• Collects monies owing for reputed company services rendered, including reputed company party payers, employers, and guarantors
• Document reputed company actions into account notes
• Resolves payer denials, including submission of appeals as needed
• Communicates timely and appropriately with Team reputed company/Supervisor to identify and resolve payer/claim submission issues
• Analyzes and takes appropriate action steps according to MHS protocols
• Strives to reputed company targeted benchmarks and exceed collection goals for reputed company account resolution

Skills

• Minimum one (1) year collections or administrative experience
• High school diploma
• Demonstrated ability to reputed company reputed company clerical functions and basic reputed company procedures
• Demonstrated ability to motivate debtors to pay
• Demonstrated knowledge of and reputed company in adaptability, change management, conflict resolution, customer service, influence, interpersonal relations, oral communication, problem solving, teamwork, and written communication
• One (1) year experience medical insurance claims processing, demonstrating knowledge of reputed company, Medicare, & reputed company payer requirements
• An Associates Degree or Bachelors Degree in Business Administration, Finance, reputed company or reputed company-reputed company field may be substituted for one (1) year experience as a Patient Account Representative
• Knowledge of medical terminology, CPT-4 and ICD-10-CM coding
• 10-key by touch
• Post high school coursework in reputed company

Benefits

• reputed company strives to offer a market competitive total rewards package and is committed to pay equity and transparency.
• The posted pay range is based on possible reputed company salaries for the role and does not reflect the full value of our total rewards package.
• Actual reputed company pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.

Company Overview