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AR Denial Management Specialist​ + 50k Sign On Bonus

at Visaya KPO
Published October 3, 2024
Expires October 18, 2024
Location Pasig City, Philippines
Category Healthcare  
Job Type Full-time  

Description

Essential Duties & Responsibilities:

  • Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers
  • Update patient demographics/insurance information in appropriate systems
  • Research/ Status unpaid or denied claims
  • Monitor claims for missing information, authorization, and control numbers (ICN//DCN)
  • Research EOBs for payments or adjustments to resolve claim
  • Contacts payers via phone or written correspondence to secure payment of claims; reconsideration and appeal submission.
  • Access client systems for payment, patient, claim and data info
  • Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems
  • Secure needed medical documentation required or requested by third party insurance carriers
  • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
  • Perform other related duties as required

Qualifications:

  • 2+ years of medical collections/billing experience
  • Must have atleast 6 months of EPIC tool experience
  • Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI
  • Expert knowledge of third party guidelines
  • Expert knowledge of billing claims forms (UB04/1500)
  • Expert knowledge of payor contracts
  • Working Knowledge of Microsoft Word and Excel
  • Intermediate working knowledge of health information systems(i.e, EMR, Claims Scrubbers, Patient Accounting Systems, etc.)
  • Working knowledge of one or more of the following Patient accounting systems - EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts, or Paragon
  • Working knowledge of DDE Medicare claim system
  • Knowledge of government rules and regulations
  • Must be willing to work onsite.

Enjoy the ff. Perks and Benefits:

  • 15% Night Differential
  • HMO Benefits after 30 days + Add Up to 2 Dependents
  • Retirement Benefits
  • 24 Leave Credits per year
  • Wholistic Employee Wellness Program
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