Patient financial rep ii
: Job Details :

Are you looking for a work from home position. Well look no futher!! Be knowledgeable on all payer types and effectively work on special projects for specific initiatives for account resolution projects. Demonstrate confidence and sound decision making for processing through large volumes of denials, complex accounts,or contractual reviews, as identified from strategic leadership requirements. Make necessary adjustments as required by plan reimbursement. This includes, but is not limited to: calculating the physician and hospital share and working with MSP to transfer the physicians share to that department, working with other departments to properly invoice clients and bill claims for proper adjudication per our agreements. Be knowledgeable on all payer types and effectively work on special projects for specific denials. This position is only geared towards the Dallas/Fort Worth, Texas area only!!salary: $20 - $22 per hourshift: Firstwork hours: 8 AM - 4 PMeducation: High SchoolResponsibilities1. Analyze payer underpayments, variances, and denials. Escalate trends, make comprehensive suggestions, and file professional appeals according to our contractual agreements and companies policy. This includes timely processing of allocated volume of accounts, based on established production guidelines and time parameters provided for workflow. 2. Responsible for outbound calls and/or status inquiries via payers website validating receipt of medical claims and adjudication status within established timeframes. Display competent ability to access, navigate, and manage account information throughphone calls and payer websites. Documents all work and calls performed, in accordance to policy. This includes complete contact information, good grammar, and expected outcomes.SkillsHealth Insurance PolicieskeyboardingepicHIPAAFinancial StatementsHealthcare NetworkHealthcare System NavigationAccounting CourseworkMedical BillingMedical Billing - DenialsQualificationsYears of experience: 5 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact ...@randstadusa.com.Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).This posting is open for thirty (30) days.