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Job Type : Full TimeLocation : DeLand, FL, US, FloridaPay : Good pay Job Description Job description: The Specialist I, Collections (Lab) is to secure maximum reimbursement on all claims based on payer terms. Applies the knowledge and skills to complete a wide range of tasks at a level which meets department standards and ensures goals and objectives are achieved. Ensures claim adjustments are applied using the appropriate payer terms and based on department guidelines. Adheres to DaVita policies including corporate compliance and all rules and regulations under the applicable local, state, and federal agencies and accrediting bodies. This position reports to the Supervisor, Patient Accounting (Lab). ESSENTIAL DUTIES & RESPONSIBILITIES: 1. Initiates collection follow up of all denials with insurance payer to ensure proper reimbursement on claims. Researches, appeals, resolves claim rejections and underpayments with the payer based on payer terms. 2. Responds to written payer communications with appropriate action in timely manner; Processes claims, re-bills and appeals; Requests medical documentation from facilities; Types, scans (files in electronic claims library by payer) and mails appeal. 3. Documents daily in the A/R system all follow up and communication on a patient account in a consistent and concise format and escalates issues to lead and supervisor based on department standards. 4. Validates and requests insurance changes through the A/R system as required during collections process. 5. Retrieves assigned data and prioritizes based on AR department guidelines. 6. Other duties and responsibilities as assigned Minimum Qualifications: - High School diploma or equivalent experience required
- Minimum of 2 years related medical collections experience
- Intermediate computer skills and proficiency in MS Excel, Outlook and an electronic accounts receivable system
- Basic computer skills and proficiency in MS Word
Our client asked me to submit 3 great people within the next few days. We work directly with the hiring manager and can arrange interviews within a few days Ethan Anderson
- ID: #21400111
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State: Florida
Delandflus
32720
Delandflus
USA
- City: Delandflus
- Salary:
USD
TBD
TBD
- Job type: Permanent
- Showed: 2021-10-20
- Deadline: 2021-12-17
- Category: Et cetera