Hospital Claims Billing, Insurance AR follow up & Appeals Specialist
Hospital Claims Business Office
Sherloq Revenue Solutions, an extended business office for multiple hospitals, is looking to enhance our team with top performers who are knowledgeable in the Healthcare Revenue Cycle. We are seeking candidates with experience from healthcare providers or hospitals that are looking to maximize their skills in the industry.
This position will require the employee to effectively communicate between hospitals and insurance payers to expedite claim resolution over the phone and internet. A background that includes insurance follow-up, insurance collections and denials management is desired.
We are looking for applicants that will support an environment of teamwork and customer service excellence. Our goal is to exceed client expectations, while increasing revenue recovery.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, or national origin.
Paste the following link into your web browser to view the Office of Federal Contract Compliance Program's EEO is the Law Poster: http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf
EOE AA /Minorities/Females/Vet/Disability
DUTIES Resolve and collect hospital claims with commercial and government insurance carriers
Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy
Analyze insurance payer denials for appropriate response to ensure claim reimbursement
Research claim payment and claim follow-up
QUALIFICATIONS 1 year of experience working with health insurance claims is preferred
Associates degree preferred, High school Diploma or equivalent required
Working knowledge of ICD-10 and CPT/HCPCS coding standards
Excellent verbal skills and phone etiquette
Ability to problem solve and think critically to identify payer trends
Computer proficiency with Microsoft Word, Excel and other office software applications
AAHAM Certified Revenue Cycle Specialist-Institutional accreditation is preferred but not required
Must pass a drug test and pre-employment background check.