Exceptional Health Care
Independent Dispute Resolution Specialist
Exceptional Health Care, Dallas, Texas, United States, 75215
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/Qualifications1 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 detailedInsurance Negotiation experience; knowledge of insurance plans providers- BCBS, UHC, Aetna/Cigna or self-funded/commercial providers requiredKnowledge 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 responsibilitiesInvestigates, and responds to inquiries from payorsResearch error & makes necessary corrections for clean claim production and submissionActively follow-up and negotiate on all assigned payers, and facilitiesFollow up on posting errorsReview Insurance EOB and initiate appeals, negotiations, Center of Medicare Service Complaints as necessaryResolves insurance requests, inquiries, concerns, in an expedient and respectful mannerSchedule
Hybrid position, partly remote and partly in office8 hour shiftMonday to Friday
Benefits
Health insurance401(k)Dental insuranceVision insurance401(k) matchingLife insurancePaid time off (PTO)
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/Qualifications1 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 detailedInsurance Negotiation experience; knowledge of insurance plans providers- BCBS, UHC, Aetna/Cigna or self-funded/commercial providers requiredKnowledge 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 responsibilitiesInvestigates, and responds to inquiries from payorsResearch error & makes necessary corrections for clean claim production and submissionActively follow-up and negotiate on all assigned payers, and facilitiesFollow up on posting errorsReview Insurance EOB and initiate appeals, negotiations, Center of Medicare Service Complaints as necessaryResolves insurance requests, inquiries, concerns, in an expedient and respectful mannerSchedule
Hybrid position, partly remote and partly in office8 hour shiftMonday to Friday
Benefits
Health insurance401(k)Dental insuranceVision insurance401(k) matchingLife insurancePaid time off (PTO)