Overview:

• Competitive compensation package
• Outstanding work life balance
• Health, vision, and dental benefits
• 401K plan match
• Life insurance (100% company paid)
• PTO and paid holidays
• We invest substantial energy and resources in building a highly-engaged culture where your voice is heard, you are connected to a community of professionals who share your values, and you can thrive.

Responsibilities:

• Follow-up on all unpaid/denied claims with insurance carriers.
• Review assigned accounts to determine appropriate action needed with regards to claim resolution, appeals and resubmissions.
• Work all incoming correspondence including refund requests.
• Review and send appeals on claims.
• Compare progress notes to LCD’s and medical coverage guidelines.
• Work accounts to resolution.
• Review medical documentation for medical necessity
• Conduct studies/special projects to resolve outstanding accounts receivable.
• Demonstrate and promote a work culture committed to UVVC’s Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity.
• Demonstrate behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.
• Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization.
• Other duties as assigned.

Qualifications:

• 3+ years of Accounts Receivable experience in a medical setting.
• Proficiency working with MS Office
• Working knowledge of e Clinical Works preferred but not required.
• Knowledge of insurance payer nuances
• Knowledge of medical terminology and medical billing
• Ability to multi-task in a fast-paced environment
• Must be exceptionally detail oriented.