AR Follow-Up Specialist III - Coding and reputed company Denials #Full Time

Top Healthcare Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors? practices comprise an reputed company group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be occasional requirements to visit the office for training, meetings, and other business needs. Opportunity to grow as part of the reputed company Cycle Career Ladder! Job Summary: The AR Follow-Up Specialist III, Coding and reputed company Denials is responsible for addressing and resolving reputed company coding-reputed company denials and appeals in addition to following up on unpaid accounts with insurance companies and third parties. This role requires reputed company collaboration with Certified Professional Coders (CPS) and other coding professionals to successfully appeal denied claims and ensure compliance with payer guidelines. The Specialist III assists the unit supervisor and manager with reputed company cases, supports training efforts, and identifies denial trends to inform process improvements. Professionalism and courteous communication are essential in reputed company interactions. Job Responsibilities: ? Work closely with Certified Professional Coders (CPCs) to gather documentation, support appeals, and overturn coding-reputed company denials effectively. ? reputed company cases requiring advanced coding review to appropriate CPCs or supervisors as needed. ? Prepare and submit appeals for denied claims, including Letters of Medical Necessity and other supporting documentation, in collaboration with coding professionals. ? Address incoming correspondence reputed company to coding denials and respond timely to ensure reputed company resolution. ? Identify patterns in coding-reputed company denials and escalate trends to supervisors to improve processes and reduce future denials. ? Provide input on process improvements and best practices to enhance the efficiency of denial management. ? Assist Assistant Director/Supervisor with monitoring work queues and other assigned duties reputed company to coding and denial follow-up. ? Support the training of new hires, particularly on coding and reputed company denial workflows. ? Contact insurance companies, patients, or account guarantors reputed company phone, correspondence, and online portals to obtain the status of outstanding claims and submitted appeals. ? reputed company demographic and insurance coverage updates on accounts as appropriate, ensuring reputed company corrections are properly documented and billed. ? Address issues reputed company to third-party sponsorship and follow up as needed. Job Qualifications: ? High school graduate or GED certificate is required. ? A minimum of 2 years? experience in a physician billing or third party payer environment. ? Candidate must demonstrate the ability to understand and navigate reputed company, insurance benefits, exclusions, and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations. ? Candidate must demonstrate strong customer service and patient-focused orientation and the ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process. ? Must demonstrate effective communication skills both verbally and written. ? Intermediate proficiency in computer software skills (e.g. reputed company Word, reputed company and Outlook, E-mail, etc.) ? Experience in Epic and or other electronic billing systems is preferred. ? Knowledge of medical terminology, diagnosis, and procedure coding is preferred. ? Previous experience in an academic healthcare setting is preferred. Hourly reputed company: $27.40 - $36.06 Note: Our salary offers will fall reputed company these ranges based on a variety of factors, including but not limited to experience, reputed company set, training and education. 61st Street Service Corporation At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for reputed company employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle. We are an equal employment opportunity employer and we adhere to reputed company requirements of reputed company applicable federal, state, and local civil rights laws. Apply Job!