Medical Reimbursement Specialist
Location:
Broomfield , Colorado
Posted:
November 17, 2016
Reference:
00624-0008932013
We are sourcing for a Patient Account Representative in the North Denver area. This is a temporary to full-time position that requires passing of a all candidates required to undergo drug screening and a criminal all candidates required to undergo background check. This position will be responsible for researching and appealing outstanding medical claims. Monitoring assigned outstanding patient account claims and proactively identifies, researches and proposes solutions to trends. Responsible for identifying and following up on patient accounts in an appropriate manner to achieve maximum reimbursement and reducing Accounts Receivable in a timely manner. Research and follow up on outstanding claims. Document and appropriately file in the computer system all correspondence and action taken on an account. Follow up in accordance to procedures and policies with an overall goal of account resolution. Monitors assigned outstanding claims and proactively identifies, researches and proposes solutions to trends. Provides feedback to management regarding problem payers and specific reimbursement problems. Ensures proactive cash flow by maximizing reimbursement and reducing accounts receivable. May be assigned to work with patient accounts associated to one or more specialized areas or insurance payers. This is including but not limited to, acute, ambulatory, medical specialty, provider based, commercial, government, or other third-party payers. Keep current in payer and contract terms, updates, billing policies, and navigation of respective payer websites. Interprets payer contract summaries with advanced understanding to evaluate under and over payments. Hospital/Physician billing or claims follow-up experience Knowledge of general medical billing, insurance, and compliance regulations and coding.Medical terminology.
A little about us:
Founded in 1948, Robert Half (NYSE: RHI) is the world's first and largest specialized staffing services firm.

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