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IDR Collection Specialist

Role overview

Qualifications

  • 1 YEAR OF MEDICAL INSURANCE COLLECTION EXPERIENCE
  • Excellent organization and time management
  • Knowledge of EOB, HIPPA, ICD-10, and CPT codes
  • Excel experience

Responsibilities

  • Investigate, review the Insurance EOB, and contact payors to collect on formal independent dispute resolution accounts
  • Research errors, payments, fees, reconcile accounts to invoices, and submit IDR requests
  • Identify posting errors while reconciling payments received
  • Resolve insurance requests, inquiries, and concerns in an expedient manner

Key facts

  • Remote from: Texas (USA)
  • Full time
  • Junior (1-2 years)
  • Collections Specialist
  • English

Hard skills

Other skills

  • Microsoft Excel
  • Communication
  • Multitasking
  • Problem Solving
  • Time Management

About the company

Nutex Health Inc. logo

Nutex Health Inc.

Nutex Health, Inc. is a technology-enabled healthcare services company with two divisions: a Hospital Division and a Population Health Management Division. The Hospital Division implements and operates innovative health care models, including micro-hospitals, specialty hospitals, and hospital outpatient departments (HOPDs). This division owns and operates 21 facilities in 8 states. The Population Health Management Division owns and operates provider networks such as Independent Physician Associations (IPAs). Our Management Services Organizations (MSOs) provide management, administrative, and other support services to our affiliated hospitals and physician groups. Our cloud-based proprietary technology platform aggregates data across multiple information systems, settings, and sources to create a holistic view of each patient and provider, allowing us to deliver greater quality care more efficiently.

Company details

Company size1001 - 5000

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Job description

IDR Collection Specialist

The IDR Collection Specialist must perform collection activities on NSA Negotiations (We will teach you) and reconcile complex reports related to Independent Dispute Resolution.

The ideal candidate must demonstrate excellent written and verbal communication skills, as they will be communicating with outsourced companies. This position requires an individual who can multitask, solve problems,and manage time effectively.

Essential Job functions and responsibilities:

·         Investigate, Review the Insurance EOB, and contact payors to collect on formal independent dispute resolution accounts where additional revenue is required to be paid.

·         Research errors, payments, fees, reconcile accounts to invoices, and submit IDR requests to ensure proper payment is received and posted to patient accounts.

·         Identify posting errors while reconciling payments received.

·         Resolves insurance requests, inquiries, and concerns in an expedient and respectful manner.

Job Requirements/Qualifications:

·         1 YEAR OF MEDICAL INSURANCE COLLECTION EXPERIENCE (REQUIRED).

·         Excellent organization, time management, self-starting, analytical, and detailed

·         REQUIRED Knowledge of EOB, HIPPA, ICD-10, and CPT codes. Excel experience is a MUST.

Detail-oriented with the ability to review data and documents for accuracy and

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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