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Company

Currance · 4 hours ago

Account Resolution Specialist II - Physician (Meditech required)

United States

Full-time

Remote

Entry Level

$18.50/hr - $21/hr

1+ years exp

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Responsibilities

Submit medical claims in accordance with federal, state, and payer mandated guidelines

Ensure proper claim submission and payment through review and correction of claim edits, errors, and denials

Research, analyze, and review claim errors and rejections towards applicable corrections

Investigate, follow up with payers, and collect the insurance accounts receivable as assigned

Maintain required knowledge of payer updates and process modifications to ensure accurate claims submission, processing, and follow up

Assess the reasons for payer non-payment and take the required actions to successfully resolve claims on behalf of our clients

Escalate stalled claims to payer or Currance leadership

Verify and adjust claims to ensure that client accounts accurately reflect the correct liability and balance

Identify any payer specific issues and communicate to team and manager

Other duties and responsibilities as assigned to meet Company business needs

Qualification

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Physician billing experienceHigh dollar collectionsDenials managementEMR systemsICD-10 codesCPT/HCPCS codesMicrosoft Office SuiteGoToMeeting/ZoomMedical accounts investigationCollaboration toolsPositive outlook

Required

High school diploma or equivalent

One year experience working at Currance as an ARS I, 1+ years of inpatient/outpatient medical billing/follow-up experience within a hospital or vendor setting to secure insurance payments or AR resolution

One year of experience with hospital and/or physician claim follow-up and appeals with health insurance companies

Experience in one or more EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or comparable platforms is required

Proficiency with computers including Microsoft Office Suite/Teams, GoToMeeting/Zoom, etc

Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes

Knowledge of rules and regulations relative to Healthcare Revenue Cycle administration

Skilled in medical accounts investigation

Ability to validate payments

Ability to make decisions and act

Ability to learn and use collaboration tools and messaging systems

Ability to maintain a positive outlook, a pleasant demeanor, and act in the best interest of the organization and the client

Ability to take professional responsibility for quality and timeliness of work product

Ability to achieve results with little oversight