Larry H. Miller Senior HealthSandy, Utah, United States
[filters.remote]
[job_card.full_time]
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Larry H. Miller Senior HealthSandy, Utah, United States
[job_card.variable_hours_ago]
[job_preview.job_type]
[job_card.full_time]
[filters.remote]
[job_card.job_description]
Full-time
Description
A Claims Resolution Specialist ensures the outstanding revenue for services provided by home health and hospice agencies is collected and reimbursed appropriately.
Hybrid position : 1 day in office in Sandy, 4 days at home.
8 hours. Mon-Fri. NO holidays and NO weekends.
Responsibilities and Duties
Obtaining claim status from insurance plans via phone and / or online portals
Reviewing medical insurance claims for resolution and payment in a timely manner for maximum reimbursement
Analyzing remittance advices to ensure accurate and timely posting of rejections, payments, and contractual adjustments
Posting payments received and adjudicating accounts
Maintaining a working knowledge of payer practices and reimbursement methodologies
Becoming a subject matter expert in assigned A / R responsibilities
Researching, compiling, and responding to documentation requests from insurance carriers
Establishing and maintaining positive working relationships with agencies
All other duties as assigned
Requirements
Competencies :
To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position.
Proficient in mathematical, verbal, written, and computer skills, as well as reasoning ability
Excellent communication, organization, and follow-up skills
Ability to handle multiple assignments simultaneously
Attention to detail and the ability to work independently
Job Qualifications :
1 year medical accounts receivable experience required
18+ Years of Age
1 year knowledge of home health operations preferred
Physical Requirements :
Regularly required to walk, sit, stand, bend, reach, lift, and move about
Ability to communicate effectively, both orally and in writing.