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Payment Variance Follow Up Representative

2 months ago

Atlanta, United States Yasmesoft Full time

Hi,

Greetings from Yasmesoft..

I am Santhosh, a Sr. Recruiter with YASME SOFT INC a leading IT staffing organization. I came across your profile in one of the job boards and feel that your skills and professional experience would be a good fit for a position with one of our premier clients. Please review the job description below. If you are interested in this position, please forward your updated resume for immediate consideration and preferred time to discuss this opportunity further.

We are looking for Payment Variance Follow Up Representative and the following are a more detailed description of the job.

Job Description:

Job Title: Payment Variance Follow Up Representative

Location: Fully Remote

Pay Rate: $19/hr on W2

Job Description

Our client, a well established 3rd party medical billing is looking to hire a Payment Variance Representative(Remote) on a temp to hire basis. The Payment Variance Follow Up Representative is responsible for collecting outstanding insurance reimbursement due to contractual discrepancies.

Duties and Responsibilities:

· Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.

· Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies

· Detailed knowledge of Managed Care reimbursement methodologies

· Perform payment variance analysis to identify trends in underpaid claims

· Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results.

· Identify and report underpayments and denial trends

· Initiate appeals when necessary

· Basic knowledge of healthcare claims processing including: ICD-9, CPT, and HCPC codes, as well as UB-04

· Ability to analyze, identify and resolve issues causing payer payment delays

· Act cooperatively and courteously with patients, visitors, co-workers, management and clients.

· Maintain confidentiality at all times

· Maintain a professional attitude

· Understand and comply with Information Security and HIPAA policies and procedures at all times

· Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

· Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

· Report any security or HIPAA violations or concerns to the HIPAA Officers in a timely fashion

Qualifications:

· 3 years’ experience in Commercial insurance collections, including submitting and following up on claims

· Experience in Hospital/Facility billing

· Ability to work well individually and in a team environment.

· Proficiency with MS Office

· Strong communication skills/oral and written

· Strong organizational skills

Please submit your resume for immediate consideration

Thanks & Regards,

Santhosh

YASME SOFT INC

Certified Minority Business Enterprise

An ITServe Alliance member

1212 Corporate Drive Suite # 150
Irving, TX 75038
Email ID: santhosh@yasmesoft.com

Website: www.yasmesoft.com