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Company Name : Billing Solutions LLC
Location : Prescott, AZ 86301
Position : Remote Appeals Specialist II
Job Description : Billing Solutions is looking for a detail-oriented and motivated Payment Appeal Team Lead responsible for working alongside and directing a small staff in analyzing EOBs, reimbursement reports and contracts as well as preparing and submitting appeals to insurance companies when appropriate to obtain additional reimbursement. The Payment Appeal Team Lead will also assist with research, take actions necessary to resolve issues with claims and improve collections and reimbursement rates. A strong candidate will strike a balance between maintaining trustful relationships and ensuring timely payments. This employee should exhibit professionalism and trustworthiness. The proper candidate should have excellent communication and negotiation skills, as well as an ability to work independently.Duties/ResponsibilitiesAnalyze Explanation of Benefits, insurance carrier contacts, and general correspondence from insurance companiesPrepare and submit insurance claim appeal lettersCoordinate and document status of appeals until final resolution of the denialTrack and monitor increases in revenue from appeals processFollow up on open and pending insurance claimsDocument the status of action steps taken to resolve outstanding claimsIdentify billing errors for correction and re-submission to insurance companiesFollow up on payment errors, low reimbursement, and denialsIdentify problems with intake utilization review, billing, and collection systems, and consult with management regarding potential solutionsUnderstand the regulatory issues surrounding billing and codingAnswer questions and attempt to resolve issues presented by management, as appropriateDirect staff members by assisting with questions and workflow managementThese duties and responsibilities are not the full scope of the job description and are subject to change upon company and client demand. Additional tasks may be assigned from time to time dependent on current or projected business need.BenefitsOnce training has been completed, there is the possibility of a flexible schedule.Paid time offMedicalDentalVision insurance401k after 1 year of employmentPay Range – $18-20 per hourJob Type: Full-timePay: $18.00 – $20.00 per hour
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