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Independent Dispute Resolution Specialist | Independent Dispute Resolution in Job Job at Exception1

This listing was posted on The Resumator.

Independent Dispute Resolution Specialist

Location:
Dallas, TX
Description:

Exceptional healthcare is a premier, integrated healthcare provider that offers emergency medicalcare, inpatient and outpatient services in major metropolitan areas. We are a dynamic, quicklygrowing company based in Dallas, TX but located in several states. We are currently in the processof hiring several Independent Dispute Resolution Specialist to perform collection activities on NSANegotiations. To succeed in this role, you must possess in-depth knowledge of medical insurancepolicies. The ideal candidate must also be able to demonstrate excellent written and verbalcommunication skills, as they will be communicating with various insurance companies. Thisposition requires an individual that can multi-task, problem solve, and manage time effectively. Pay: $18.00 - $20.00 per hour. Job Requirements/Qualifications 1 YEAR OF MEDICAL INSURANCE COLLECTION EXPERIENCE (REQUIRED). Medical Insurance Collection: 1 year (Required) Insurance Negotiation: 2 years (Required) Medical Follow up: 1 year (Required) Excellent organization, time management, self-starting, analytical, and detailed Insurance Negotiation experience; knowledge of insurance plans providers- BCBS, UHC, Aetna/Cigna or self-funded/commercial providers required Knowledge of Electronic Medical Records, Collections, and Hospital Billing Experience (Required) Knowledge of EOB'S, HIPPA, ICD-10 codes, and CPT codes. Essential Job functions and responsibilities Investigates, and responds to inquiries from payors Research error & makes necessary corrections for clean claim production and submission Actively follow-up and negotiate on all assigned payers, and facilities Follow up on posting errors Review Insurance EOB and initiate appeals, negotiations, Center of Medicare Service Complaints as necessary Resolves insurance requests, inquiries, concerns, in an expedient and respectful manner Schedule Hybrid position, partly remote and partly in office 8 hour shift Monday to Friday Benefits Health insurance 401(k) Dental insurance Vision insurance 401(k) matching Life insurance Paid time off (PTO) Powered by JazzHR
Company:
Exceptional Healthcare
Posted:
May 8 on The Resumator
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