Review and manage denial denials and appeal processes for medical claims
Submit medical appeals (paper or electronic) and track outcomes
Utilize ICD-10 coding, Medicare/Medicaid guidelines, and revenue cycle management to minimize denials
Coordinate with payers and healthcare providers to gather necessary information and resolve issues
Job description
Location:
REMOTE! Must reside in DWF, TX area
This is primarily a remote position, however there are times the employee might have to come into the office for training, team building events, or as requested by their supervisor or manager.
Contract Length:
26-week contract
Shift:
Flex Start time 6a-9a. 8-hour shift (5x8)
Requirements:
Bachelor’s degree
Minimum of four years’ relevant experience
Billing and/or coding certification
No gaps in resume
ICD-10 experience
Medicare/Medicaid experience
Revenue Cycle Management
Required Skills:
Outgoing, bubbly, and cheerful personality
Submission Process:
Which hospital software systems they’ve worked with?
What level of working knowledge do they have with MS Office suite?
Do they have accounts payable/receivable experience?
How many years' experiences do you have working in medical claims recovery or collections within a healthcare or insurance industry?
What are some common reasons for claim denials? (3)
Describe your experience with submitting a medical appeal paper/or electronic?
What medical insurance denials have you worked with?
How do you determine if an appeal is necessary and what information should be included?
