drjobs AR Specialist

AR Specialist

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1 Vacancy
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Jobs by Experience drjobs

1-3years

Job Location drjobs

Managua - Nicaragua

Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Duties and Responsibilities: Duties will include but may not be limited to:

  • Serve as liaison between client/facility and their respective insurance carrier

  • Review AR on a daily basis to ensure reimbursement goals are maintained and achieved.

  • Able to interact with various third party insurance carriers and clearinghouses accurately and timely to identify and resolve systematic issues.

  • Collect and submit data in order to objectively identify patterns of intervention which result in desired patient outcomes.

  • Evaluates payments/denials received and ensures claims are escalated with respective insurance companies correctly.

  • Ability to deal with highly sensitive accounts and exercise good judgment in solving complex situations.

  • Consistently looks for areas to maximize claim reimbursements.

  • Maintains broad knowledge of insurance plans medical terminology billing procedures government regulations and medical codes.

  • Provide feedback to management based on research and calls to payers to establish payer behavioral trends.

  • Cooperate and communicate effectively with peers and facilities. Follow appropriate communication channels through organizational structure.

  • Observe confidentiality of patient information and HIPAA regulations.

  • Adapt to changes in a positive manner giving constructive feedback. Work as an effective team member collaborating with other disciplines in the provision of care.

  • Participate in professional continuing education related to their field and keep a record of continuing education attendance.

  • Identify performance improvement opportunities and participate in quality improvement endeavors.



Requirements

  • Knowledge:

  • Working knowledge of insurance companies and policies.

  • Skills:

  • Computer literacy with spreadsheets wordprocessing business systems. (Microsoft Word Excel Outlook)

  • Ability to effectively communicate with staff and clients.

  • Knowledge of at least one of the following EMR s: Kipu Best Notes Alleva



Employment Type

Full Time

Company Industry

About Company

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