This is a remote position.

Night Shift Schedule:

Description:

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  Post insurance company payments and/or responses into the various systems based on client, such as electronic, ERA, or paper explanation of benefits.
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  Daily checks on the pending amounts due from carriers and act accordingly.
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  Reviewing the recent codes of partial and full denials, utilizing carrier portals or calling for clarification as well as resubmission and reconsider of given claims with appropriate reasons.
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  Prepare appeals to be sent by reimbursement representative.
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  Report to reimbursement team member any item that is not resolved within a timely manner
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  Report to reimbursement team member any specific patients with partial and full denials, identify why denied, and find ways to avoid the issue(s) that might be triggering it.
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  Check with carriers on no-response claims based on predefined dates.
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  Prepare amounts outstanding and key issues for the reimbursement team member.
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  Follow up on appeals and claims sent for reconsiderations.
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  Attend daily meetings with reimbursement team member.
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  Attend weekly team meetings, completing the to-do’s assigned to reimbursement team member.
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  Other duties as assigned.

Requirements

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  Permanent work from home
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  Immediate hiring
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  Steady freelance job
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  Profit sharing incentive
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  Paid time off
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  Holiday pay
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  Annual Performance and Raise Evaluation
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  Quarterly Perfect Attendance Incentive
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  HMO
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  BruntWork Loan Assistance