Claims Success Associate
4.
2 Rocklin, CA Rocklin, CA Full-time Full-time $18 - $21 an hour $18 - $21 an hour 1 day ago 1 day ago 1 day ago Revenue Cycle Associate (Accounts Receivable) The Claims Success Team ensures that all aspects of medical billing and coding from the patient verification through the insurance processing and patient collections is compliant and timely.
The team ensures quality by monitoring queues and alerts, as well as obtaining prior authorizations and following compliance and billing rules for each payer to send out clean claims to the insurance for timely payments.
The Revenue Cycle Team follows up on denied claims and claims with no response to drive down accounts receivable and accurately collect patient responsibility.
The team is responsible for all patient support on their billing account including, but not limited to, taking payments, answering questions on the billing account, assisting patients with insurance questions and rebilling as needed! What you will do:
Post charges daily Submit claims electronically daily and monthly as defined by processes Monitor claim status and denials to identify and address rejected claims Investigate reasons for rejected claims, make necessary corrections, and resubmit claims as required.
Learn/understand the basics of insurance billing:
PPOs, HMOs, Medicare, Workers Comp to support the team and other teams as necessary.
Maintains industry level working knowledge of medical billing occurring in Luna Support Admin functions.
Queue based work for their sole job function (authorizations, insurance payment posting, etc.
) Achieved goals set by management.
Generally starts to function more so in one of the departments:
Patient Payments, Insurance Payments, Claims or AR while supporting all departments as needed.
Achieving daily, weekly, monthly and quarterly goals to ensure claims, payments and supporting documentation is completed.
Performs Ad Hoc tasks at managers discretion.
You will be a good fit if you are:
Organized with the ability to identify and track progress against priorities.
At least 1 year of experience with medical accounts receivable, preferably in outpatient therapy Proven experience in healthcare billing Demonstrated training ability.
Estimated Salary: $20 to $28 per hour based on qualifications.
2 Rocklin, CA Rocklin, CA Full-time Full-time $18 - $21 an hour $18 - $21 an hour 1 day ago 1 day ago 1 day ago Revenue Cycle Associate (Accounts Receivable) The Claims Success Team ensures that all aspects of medical billing and coding from the patient verification through the insurance processing and patient collections is compliant and timely.
The team ensures quality by monitoring queues and alerts, as well as obtaining prior authorizations and following compliance and billing rules for each payer to send out clean claims to the insurance for timely payments.
The Revenue Cycle Team follows up on denied claims and claims with no response to drive down accounts receivable and accurately collect patient responsibility.
The team is responsible for all patient support on their billing account including, but not limited to, taking payments, answering questions on the billing account, assisting patients with insurance questions and rebilling as needed! What you will do:
Post charges daily Submit claims electronically daily and monthly as defined by processes Monitor claim status and denials to identify and address rejected claims Investigate reasons for rejected claims, make necessary corrections, and resubmit claims as required.
Learn/understand the basics of insurance billing:
PPOs, HMOs, Medicare, Workers Comp to support the team and other teams as necessary.
Maintains industry level working knowledge of medical billing occurring in Luna Support Admin functions.
Queue based work for their sole job function (authorizations, insurance payment posting, etc.
) Achieved goals set by management.
Generally starts to function more so in one of the departments:
Patient Payments, Insurance Payments, Claims or AR while supporting all departments as needed.
Achieving daily, weekly, monthly and quarterly goals to ensure claims, payments and supporting documentation is completed.
Performs Ad Hoc tasks at managers discretion.
You will be a good fit if you are:
Organized with the ability to identify and track progress against priorities.
At least 1 year of experience with medical accounts receivable, preferably in outpatient therapy Proven experience in healthcare billing Demonstrated training ability.
Estimated Salary: $20 to $28 per hour based on qualifications.
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