R1 RCM · 1 day ago

Denials & AR Operations Support I

United States

Full-time

Remote

Entry Level

$15.73/hr - $19.66/hr

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Responsibilities

Be able to identify different types of hospital documentation including, but not limited to, UB-04s, denial/approval letters, EOBs, Hospital account notes, medical records, itemized bills, and Hospital appeal letters.

Ensure professional and HIPAA compliant documentation practices.

Maintain an understanding of how to utilize provider system platforms and obtain necessary documentation for case files.

Utilize clinical guidance on compiling medical records.

Identify and communicate appeal deadlines timely through knowledge of insurer timeframes.

Update proprietary computer systems to ensure contacts/tasks are closed upon receipt of information requested and received.

Qualification

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Insurance VerificationHospital RegistrationHIPAA ComplianceMedical RecordsProvider System PlatformsUB-04 DocumentationEOBsAppeal Letters

Required

Production-based background

Experience with insurance verification

Experience with hospital registration

Ability to identify different types of hospital documentation including, but not limited to, UB-04s, denial/approval letters, EOBs, Hospital account notes, medical records, itemized bills, and Hospital appeal letters

Ensure professional and HIPAA compliant documentation practices

Maintain an understanding of how to utilize provider system platforms and obtain necessary documentation for case files

Utilize clinical guidance on compiling medical records

Identify and communicate appeal deadlines timely through knowledge of insurer timeframes

Update proprietary computer systems to ensure contacts/tasks are closed upon receipt of information requested and received