AbleNet, Inc. · 3 days ago
Payer Excellence Coordinator
United States
Full-time
Remote
Mid Level
$58K/yr - $65K/yr
4+ years expAbleNet, Inc. is seeking a Payer Excellence Coordinator who will be responsible for the timely submission of medical insurance claims to various payers. The role involves improving clean-claim performance, managing medical records requests, and ensuring compliance with billing regulations while providing excellent customer service.
Medical Device
Responsibilities
Submit 100% of insurance claims through both automated (Niko) and manual processes based on submission framework outlined by leadership
Manage and respond to medical records requests from payers in a timely and accurate manner
Perform claim status verification framework outline by leadership
Ensure claims are accurate, complete, and compliant to maximize first-claim acceptance
Track trends and identify opportunities to improve first-claim acceptance
Contributes to the overall operations and to the achievement of departmental goals
Demonstrate the core operation of department philosophies: Listen, Learn and Lead
Perform backup support for other members of the team department
Effective communication with patients, insurance companies, and healthcare providers
Embrace AbleNet’s culture and 7 rules of engagement
Adhere to all practice policies related to HIPAA and Medicare Compliance
All other duties as assigned
Qualification
Required
4+ years of experience in medical billing/ claims processing or submission
Detailed oriented, organized, and self-starter
Ability to work in a team environment and independently as required
Proficient with computer skills-computer programs, spreadsheets, and applications
Excellent communication skills in verbal and writing
Electronic billing
Knowledge of medical insurance
Knowledge of traditional insurance plans, HMO/PPO's, Medicare, and Medicaid
Preferred
Bachelor's degree preferred or equivalent work experience
Medical billing certification preferred
Company
AbleNet, Inc.
At AbleNet, we believe everyone deserves the tools to thrive.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Adam Wing
Chief Revenue Officer (CRO)
Company data provided by crunchbase