Job Title

This is primarily a remote position, however there are times the employee might have to come into the office for training, team building events or as requested by their supervisor or managerResponsibilities :The successful candidate will review, research, resolve claim denials and appeals for various insurance companies while identifying payment trends in an effort to maximize collections. A successful candidate should have, but not be limited to the following skills:Capable of reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed.Contacting insurance carriers to check on the status of claims, appeals, and insurance verification.Knowledgeable with payors including Managed Care, Commercial, Medicare, and MedicaidPreparing/Submitting appeals related to denied servicesAnalyze payer denials by denial groupers and submit appeals.Contact patients and/or third party payers to resolve outstanding insurance balances and underpaid claims.Make necessary adjustments as required by plan reimbursement.Functions as a liaison between clinical departments and MSRDP management team.Completes special projects as assigned.Performs other duties as assigned.Required Skills:2 years experience in medical claims recovery and/or collections requiredWork requires experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment.Work requires good organizational, flexibility and analytical skills when resolving more complex unpaid claims.Work requires knowledge of billing and/or collections and regulations.Work requires understanding of the requirements of Medicaid, Medicare and insurance billing.Work requires a self-starter, with ability to work well as part of a team and independently.Work requires ability to communicate effectively with patients, insurance companies, clinical staff and management.Work requires ability to handle large volumes of work.Work requires ability to work in a fast paced, production oriented environment.Work requires excellent customer service skills.Work requires one to exhibit excellent work ethics and commitment to job responsibilities.Work requires one to possess a professional and courteous demeanor while being assertive and confident in their collection efforts.Work requires one to possess quick and accurate alpha/numeric data entry skills.Work requires presence of a positive image that reflects well on the organization.Work requires strong written and verbal communication skills.Preferred Skills:Associate's DegreeWork requires knowledge of CMS 1500, ICD-9, and CPT coding is preferred. Required Skills:2 years experience in medical claims recovery and/or collections requiredWork requires experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment.Work requires good organizational, flexibility and analytical skills when resolving more complex unpaid claims.Work requires knowledge of billing and/or collections and regulations.Work requires understanding of the requirements of Medicaid, Medicare and insurance billing.Work requires a self-starter, with ability to work well as part of a team and independently.Work requires ability to communicate effectively with patients, insurance companies, clinical staff and management.Work requires ability to handle large volumes of work.Work requires ability to work in a fast paced, production oriented environment.Work requires excellent customer service skills.Work requires one to exhibit excellent work ethics and commitment to job responsibilities.Work requires one to possess a professional and courteous demeanor while being assertive and confident in their collection efforts.Work requires one to possess quick and accurate alpha/numeric data entry skills.Work requires presence of a positive image that reflects well on the organization.Work requires strong written and verbal communication skills.