POTENTIAL FOR REMOTE WORK IF YOU LIVE IN THE FOLLOWING STATES: MARYLAND, DC, PA, VA, WVAJOB SUMMARY:
- Proactively and aggressively resolves assigned accounts receivables
- Processes denied claims on the institutional side
- Analyze payor denials and determine next steps
- Account Resolution
- Appeals
- Collections
- Remittance Verification
- Reviews claim denials for root cause
- Composes and submits appeals to insurance carriers
- Follows up on claims to final resolution
REQUIREMENTS:
- Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field.
- 3-5 years of experience processing Institutional Appeals for payors