by twochickswithasidehustle | Jan 2, 2023 | Uncategorized
Ventra Health
Job Summary:
- 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
Qualifications
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
Knowledge, Skills, and Abilities (KSAs):
- 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
APPLY HERE
by twochickswithasidehustle | Jan 2, 2023 | Uncategorized
Labcorp
LabCorp is seeking a HealthCare Billing Specialist to join our team! LabCorp’s Revenue Cycle Management Division is seeking individuals whose work will improve health and improve lives. If you are interested in a career where learning and engagement are valued, and the lives you touch provide you with a higher sense of purpose, then LabCorp is the place for you!
Responsibilities:
- Research, translate, and analyze routine front end billing issues
- Research, translate, and update demographic data to ensure prompt payment from customers
- Resolve systems issues from daily reports to determine appropriate resolution action
- Fast paced; after extensive training- will have daily/weekly goals to be met
Requirements:
- High School Diploma or equivalent
- Associate’s Degree or Medical Coding and Billing Certification a plus
- REMOTE work; must have high level Internet speed (50 mbps) connectivity
- 1 year Billing experience a plus, but not required
- Ability to work and learn in a fast paced environment
- Strong attention to detail
- Ability to perform successfully in a team environment
- Excellent organizational and communication skills
- Strong verbal communication skills and excellent ability to listen and respond
- Basic knowledge of Microsoft office
- Alpha-Numeric Data Entry proficiency strongly preferred
Why should I become a Healthcare Billing Specialist at LabCorp?
- Generous Paid Time off!
- Medical, Vision and Dental Insurance Options!
- Flexible Spending Accounts!
- 401k and Employee Stock Purchase Plans!
- No Charge Lab Testing!
- Fitness Reimbursement Program!
- And many more incentives!
APPLY HERE
by twochickswithasidehustle | Jan 2, 2023 | Uncategorized
Ventra Health
Job Summary:
- The Payment Posting Specialist is responsible for the monetary intake for Ventra Health clients. The Payment Posting Specialist may be assigned between 13-14 facilities/clients that they will be responsible for maintaining our 6 days turnaround time. Posts all deposits for current month by our month end deadline. Payment Posting Specialist must comply with applicable laws regarding billing standards and be able to operate in a team-oriented environment that strives to provide superior service to Ventra Health clients throughout the country.
Responsibilities
Essential Functions & Tasks:
- Posts Accounts Payable deposits.
- Processes electronic 835’s and manual payer EOBs, including the posting of insurance allowable, patient portions, denials, adjustments, contractual allowances, recoups and forward balancing.
- Interprets Explanation of Benefits (EOB) remittance codes and applies correct denial codes.
- Balances and closes payment batches timely.
- Navigate websites to obtain EOBs.
- Performs special projects and other duties as assigned.
Qualifications
Education and Experience Requirements:
- High School Diploma or Equivalent.
- Two (2) year of experience posting insurance payments in a healthcare setting.
- Two (2) years of experience reading insurance Explanation of Benefits (EOB) statements preferred.
Knowledge, Skills, and Abilities (KSAs):
- Knowledge of insurance payer types.
- Knowledge of Explanation of Benefits (EOB) statements.
- Strong balancing and reconciliation skills.
- Strong 10 Key calculator skills.
- Strong oral, written, and interpersonal communication skills.
- Strong mathematical skills.
- Strong time management skills.
- Strong organizational skills.
- Ability to read, understand, and apply state/federal laws, regulations, and policies.
- Ability to remain flexible and work within a collaborative and fast paced environment.
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
APPLY HERE
by twochickswithasidehustle | Jan 2, 2023 | Uncategorized
Ventra Health
Job Summary:
- 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
Qualifications
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
Knowledge, Skills, and Abilities (KSAs):
- 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
APPLY HERE
by twochickswithasidehustle | Jan 2, 2023 | Uncategorized
Labcorp
LabCorp is seeking a HealthCare Billing Specialist to join our team! LabCorp’s Revenue Cycle Management Division is seeking individuals whose work will improve health and improve lives. If you are interested in a career where learning and engagement are valued, and the lives you touch provide you with a higher sense of purpose, then LabCorp is the place for you!
Responsibilities:
- Research, translate, and analyze routine front end billing issues
- Research, translate, and update demographic data to ensure prompt payment from customers
- Resolve systems issues from daily reports to determine appropriate resolution action
- Fast paced; after extensive training- will have daily/weekly goals to be met
Requirements:
- High School Diploma or equivalent
- Associate’s Degree or Medical Coding and Billing Certification a plus
- REMOTE work; must have high level Internet speed (50 mbps) connectivity
- 1 year Billing experience a plus, but not required
- Ability to work and learn in a fast paced environment
- Strong attention to detail
- Ability to perform successfully in a team environment
- Excellent organizational and communication skills
- Strong verbal communication skills and excellent ability to listen and respond
- Basic knowledge of Microsoft office
- Alpha-Numeric Data Entry proficiency strongly preferred
Why should I become a Healthcare Billing Specialist at LabCorp?
- Generous Paid Time off!
- Medical, Vision and Dental Insurance Options!
- Flexible Spending Accounts!
- 401k and Employee Stock Purchase Plans!
- No Charge Lab Testing!
- Fitness Reimbursement Program!
- And many more incentives!
APPLY HERE
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