The Medical Accounts Receivable (“AR”) Specialists are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Representatives are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards Responsibilities Essential Functions and Tasks:
Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients Process assigned AR work lists provided by the manager in a timely manner Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations Recommend accounts to be written off on Adjustment Request Reports address and/or filing rule changes to the manager Check system for missing payments Properly notates patient accounts Review each piece of correspondence to determine specific problems Research patient accounts Reviews accounts and to determine appropriate follow-up actions (adjustments, letters, phone insurance, etc.) Processes and follows up on appeals. Files appeals on claim denials Scan correspondence and index to the proper account Inbound/outbound calls may be required for follow up on accounts Route client calls to the appropriate RCM Respond to insurance company claim inquiries Communicates with insurance companies for status on outstanding claims Meet established production and quality standards as set by Ventra Health Performs special projects and other duties as assigned Education and Experience Requirements:
High School Diploma or GED At least one (1) year in data entry field and one (1) year in medical billing and claims resolution preferred AAHAM and/or HFMA certification preferred Experience with offshore engagement and collaboration desired Qualifications Knowledge, Skills, and Abilities:
Intermediate level knowledge of medical billing rules, such as coordination of benefits, modifiers, Medicare, and Medicaid and understanding of EOBs Become proficient in use of billing software within 4 weeks and maintain proficiency Ability to read, understand, and apply state/federal laws, regulations, and policies Ability to communicate with diverse personalities in a tactful, mature, and professional manner Ability to remain flexible and work within a collaborative and fast paced environment Basic use of computer, telephone, internet, copier, fax, and scanner Basic touch 10 key skills Basic Math skills Understand and comply with company policies and procedures Strong oral, written, and interpersonal communication skills Strong time management and organizational skills Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills Base Compensation:
Base Compensation for this position: $16.00 – $20.00 per hour Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons This position is also eligible for discretionary performance bonuses in accordance with company policies IND1
Description From Intake to Outcomes, CareMetx is dedicated to supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.
Job Title: Data Entry Specialist
POSITION SUMMARY:
Under the general supervision of the Supervisor and Manager, the Data Entry Specialist provides exemplary service to multiple clients including product manufacturers, physician, patients, and internal customers. Contributes to the profitability of CareMetx by ensuring personal productivity and efficient use of material resources.
PRIMARY DUTIES AND RESPONSIBILITIES:
Maintains effective systems to support the timely release of accurate information to diverse clients. Responsible for the intake of all programs specific correspondence including mail, inbound faxed documents. Logs information into appropriate database and triages all program specific mail to the appropriate reimbursement case advocate, reimbursement specialist and/or management team. Responsible for payer research and territory assignment management. May assist with inbound call volume as received. Distributes reports daily disseminating information to appropriate distribution vendors reimbursement case advocate, reimbursement specialist and/or management team. Maintains and promotes a positive and professional working relationship with associates and management. Complies with all appropriate program policies and procedures. Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercise judgment within defined standard operating procedures to determine appropriate action. Typically receives little instruction on day-to-day work, general instructions on new assignments. Perform related duties as assigned.
Requirements EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
Previous 1+ years of professional work experience in a customer service or healthcare environment.
MINIMUM SKILLS, KNOWLEDGE, AND ABILITY REQUIREMENTS:
Ability to communicate effectively both orally and in writing. Strong computer application skills. Strong interpersonal skills, team player. Strong organizational and time management skills. Strong attention to detail. Adaptable and flexible to new situations.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit.
The employee must occasionally lift and/or move up to 10 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Schedule
Must be flexible on schedule and hours Overtime may be required from time to time Must be willing to work weekends if required to meet company demands
CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.
At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.
CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.
Are you a self-directed, detail-oriented data entry guru who enjoys a challenge? If so, we are looking for Y-O-U! Join our diverse and inclusive team where you’ll feel valued and inspired to contribute your skills and experience.
The Company: Financial Pacific Leasing, a subsidiary of Umpqua Bank, is a direct provider of small-ticket commercial equipment leases. Our employees are smart, hardworking and fun! We believe that quality service, innovative products, and strong relationships are the key to success for all businesses.
The Position: We’re looking for a Data Entry Coordinator to join our team in our Federal Way, WA office. This position is responsible for accurately completing all new lease files from all business channels and forbearance files, accurate data entry into appropriate systems, scanning, indexing and finalizing.
Responsibilities include, but are not limited to:
Accurately completing all new lease files from all business channels and forbearance files, to include: UCC completion including fixture filings, clean-up, finalizing, completing the ACH, APS payment and insurance processes, accurate data entry into appropriate systems, scanning, indexing and finalizing.
Analyzes information received to ensure it is correct and follows up with outside sources to obtain any information needed.
Performs all other duties as assigned by management.
Requirements:
Accurate data entry.
Good organizational skills.
Effective interpersonal skills including excellent verbal and written communication.
Ability to analyze information to ensure correctness.
Strong work ethic.
Team and goal oriented.
Works well under pressure.
Regular and predictable attendance and punctuality.
High School Diploma or equivalent.
The Location: No need to pack a lunch or brave the morning traffic with this remote role! Join our team!
Why FP?
Competitive benefits package!
401(k) company match!
Recognition program!
Thriving company culture!
Compensation & Benefits: We offer a competitive total rewards package including base salary and comprehensive benefits. The annualized range for this role is $38,064.00 -$39,728.00, and the pay rate for the successful applicant depends on a variety of non-discriminatory factors including, but not limited to, job-related knowledge, skills, and experience, and education. The role may be eligible for performance-based incentive compensation and those details will be provided during the recruitment process. We offer eligible associates cost-effective benefit options including comprehensive healthcare coverage (medical, dental, and vision plans), a 401(k)-retirement savings plan with employer match for qualifying associate contributions, an employee assistance program, life insurance, disability insurance, mental health resources, identity theft protection, legal support, auto and home insurance, pet insurance, access to an online discount marketplace, paid time off for vacation, illness, volunteerism, and holidays. Benefit eligibility begins the first day of the month following the date of hire for associates who are regularly scheduled to work at least thirty hours weekly.
remote type Remote locations Remote – California Remote, WA, USA Remote, UT, USA Remote, NV, USA Remote, WY, USA
View All 10 Locations time type Full time posted on Posted 8 Days Ago job requisition id R23_0000001825 Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
We think of ourselves as a team, so we have teammates – not employees. We strive to attract people who are competitive, driven, and disciplined.
JE Brown has an immediate need for a Documentation Clerk. This is a remote from home opportunity that will be temp for 90 days and has the potential to convert to perm. This role is responsible for collecting and processing updated paperwork from our customers to keep their account information current. This position will be fast paced, handling a high volume of legal documents and communication over a short period of time. We are looking for someone who takes initiative and can wear a lot of hats while managing multiple projects. High-accuracy data entry, fast reading, and exceptional written communication are essential.
WHO WE ARE:
J.E. Brown, a subsidiary of Brown & Brown Insurance, is a managing general agency for retail insurance agents placing property and casualty insurance for businesses and individuals. The firm specializes in offering small business and personal lines property and casualty insurance products to customers in the western United States, primarily in California.
WHO YOU ARE:
You believe in working as a team and thrive in fun, collaborative environments. You have a client-focused attitude and value the importance of relationships, professionalism, and trust. You set goals high and aim higher. You have solid communication skills. You are detail oriented and organized. You enjoy learning new skills, systems, processes, and procedures. You are a great listener and are not afraid to ask questions. You believe that learning is vital to success.
WHAT YOU’LL DO:
Collect proper documentation and forms to maintain customer files accurately and consistently in accordance with department workflows and procedures.
Update customer information in our internal databases, on carrier platforms, and with carrier partners. Task and pend to ensure timely and accurate processing, follow up as needed.
Contribute or create a standard operation procedure for each process to be shared amongst your team for training and reference.
Provide clear communication and documentation of workflow status. Respond to inquiries in a timely and professional manner.
Pursue a program of personal and professional development
Other duties as assigned.
WHAT YOU’LL NEED:
Working knowledge of MS Office (Word, Excel, & Outlook)
Experience with invoicing or billing is a plus.
Working knowledge of carrier websites (preferred)
Experience with Agency Management Software Systems (preferred)
Ability to maintain confidentiality with sensitive data.
Excellent interpersonal communication skills, verbal and written.
Highly organized with the ability to work on multiple projects simultaneously with frequent interruptions and changing priorities
Excellent prioritization skills – sense of urgency
Excellent written and oral communication skills
PERKS OF THE JOB:
Excellent growth and advancement opportunities
Competitive pay based on experience.
Paid time off, generous benefits package: health, dental, vision, 401(k), etc. after conversion to permanent.
Employee Stock Purchase Plan
Target Pay
$24.00 USD Hourly Offers will be negotiated based on each candidate’s qualifications.
Benefits
Full-time roles are eligible for our comprehensive benefits program which includes:
Paid time off
Generous benefits package: health, dental, vision 401(k), etc.
Employee Stock Purchase Plan
We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.
Teemwork.ai is looking for participants in the United States to join our crowd. As a Crowd Worker with Teemwork.ai you will receive an eclectic number of online tasks to complete in fields such as Search & Ads Relevance, Transcription & Annotation, Video & Image Annotation.
Responsibilities:
– Tasks vary; we expect you to use the power of your local knowledge to understand, interpret and provide valued input in accordance with task instructions. – Tasks and guidelines provided via an online platform. Stable internet connection is required.
Qualifications:
– English competency – Can read and follow English language instructions with confidence – Residing permanently in the United States – At least 18 years of age – Strong contemporary culture knowledge (current events, news, media, and history) – Responsible, committed, results-driven and detail-oriented – Flexible schedule – Stable internet connection – General proficiency with computer and web applications
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