Collections Representative - Remote in CST or EST
: Job Details :

Perform research on assigned payer guidelines when processing appeals, corrected claims or denial reasons. Stay up to date on all payer requirements and changes Comply with departmental Business Rules and Standard Operating Procedures Focus efforts on decreasing the Accounts Receivable, increasing cash, and / or reducing bad debt Interpret explanation of benefits for appropriate follow up action Utilize automation tools to verify eligibility, claim status and / or to obtain better billing information Create work list through database and manipulate data to analyze for trends and resolve claims for adjudication Review and research denied claims by navigating multiple computer systems and platforms, in order to accurately capture data / information for processing Communicate and collaborate with members or providers to evaluate claims errors / issues, using clear, simple language to ensure understanding Work on various other projects as assigned / needed Meet the performance goals establ...Collections Representative, Collections, Representative, Remote, Microsoft, Health, Technology, Healthcare