Philippines Job Openings
OutChain Solutions
AR Denial Representative
FULL TIME
September 18, 2024
- Call payer(s), utilize payer portals, utilize client clearinghouse and all other resources available to ensure resolution of outstanding claim balances.
- Update information in practice management software to ensure timely resolution of outstanding AR.
- Compile necessary information and drafts appeals to ensure resolution of denied claims.
- Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims.
- Follow up with appropriate resource contacts to locate and obtain missing, invalid, or incomplete information.
- Act as key contributor to the Revenue Cycle by identifying and reporting inefficiencies and opportunities that enhance revenue flow, decrease denials, and minimize write-offs.
- Accountable for complex payers, aged claims, and special accounts receivable projects as assigned.
- Adhere to government regulations, payer contracts, insurance guidelines and practice specific agreements when performing insurance follow-up.
- Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts, practice agreements or governmental agency rates on individual accounts.
- Identify trends in payer non-compliance and inform management if not able to resolve with payer.
Benefits:
- Health insurance
- Opportunities for promotion
- Paid training
- Work from home
- 8 hour shift
- Monday to Friday
- Night shift
- 13th month salary
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