Role OverviewThis position may have a signing bonus available. The role involves follow-up of complex surgical/procedural/multidisciplinary specialty claims for payments, including coding and analyzing claims and claim payments/rejections.
What You Will Do
Major responsibilities include contacting insurance companies, reviewing complex rejections, monitoring changes in reimbursement policies, and performing special projects as assigned.
Why It Might Be a Fit
The ideal candidate will have two years of previous Revenue Cycle knowledge, including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding, and/or 3rd party reimbursement.
Requirements
- High School Diploma
- Two years of previous Revenue Cycle knowledge
- Knowledge of multiple third-party regulations, ICD, CPT, and HCPCS coding, and modifier assignment
- Knowledge of billing and reimbursement practices/requirements of major third-party payors in Massachusetts
- Knowledge of medical terminology, anatomy, physiology, and disease process
- Ability to organize and prioritize work to meet strict deadlines
- Computer skills to include mainframe, PC applications, and Excel
- Self-motivated, service-oriented, and excellent communication skills (written and oral)
Benefits
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