Receivables Representative Claims – Healthcare

Job Description:
Growing and Dynamic Healthcare company looking to hire Receivables Representative Claims – Healthcare

ESSENTIAL DUTIES AND RESPONSIBILITIES:
?Responsible for contacting insurance companies and navigating payer websites to obtain accurate status information of outstanding claims and inputs accurate information into the computer billing system.
?Responsible for reviewing the denied claims and allocating them correctly by denial code to the appropriate location.
?Responsible for re-billing patient claims if necessary.
?Responsible for all daily productivity reporting requirements.
?Maintains and exceeds department standards for productivity and quality.
?Maintains knowledge of internal denial codes.
?Continually seeks to understand and act upon employer/customer needs, concerns, and priorities. Meets employer/customer expectations and requirements, and gains employer/customer trust and respect.
?Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.
?Demonstrates ongoing enthusiasm and commitment to the work assigned.
?Works with others to receive feedback on performance and create a personal developmental plan.
?Participates in a process to continually improve organizational effectiveness using self-assessment performance evaluation criteria.
?May perform special assignments and other related tasks as assigned.

QUALIFICATIONS / EXPERIENCE:
?1+ years? experience with insurance denials and correspondence processes within a multi-facility environment.
?Working knowledge of insurance processes, denials, and insurance eligibility requirements.
?Some college coursework in business administration or accounting preferred.
?Ability to review documents for accuracy and reasonability.
?Ability to work well under pressure.
?Tact and patience when dealing with individuals at all levels, both within and outside the company.
?Ability to communicate effectively orally, in person and on the telephone, and in writing, with individuals at all levels, both within and outside the company.
?Knowledge of coordination of benefits requirements and processes.
?Knowledge of health insurance correspondence denial processing.
?Knowledge of insurance rejection/denial processing to perform follow up activity.
?Ability to type efficiently and accurately.

For immediate consideration please forward resume in a Microsoft Word Document and call the Act-1 Downtown LA office and ask for Azuri Ross.
We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, age (40 and over), gender identity, national origin, protected veteran status, disability or any other protected classification under federal and state law. You can view all of our jobs online at http://www.act-1.com/?sc=11&id=1305512

Job Experience:
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