Insurance Reimbursement – Patient Account Specialist III - Remote

Sherloq Solutions - Port Saint Lucie, FL (30+ days ago)2.9


Sherloq Revenue Solutions is looking to enhance our team with top performers who are knowledgeable in the Healthcare Revenue Cycle. We are seeking candidates with experience from healthcare providers or insurance payers that are looking to maximize their skills in the industry.

This position will require the employee to effectively communicate between hospitals and payers to expedite claim resolution over the phone and internet. A background that includes insurance follow-up, insurance collections and denials management is desired. We are looking for applicants that will support an environment of teamwork and customer service excellence. Our goal is to exceed client expectations, while increasing revenue recovery.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, or national origin.

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EOE AA /Minorities/Females/Vet/Disability

DUTIES Resolve and collect medical claims with commercial, private and government insurance carriers

Utilize various hospital/physician systems to verify patient, billing and claim submission for accuracy

Analyze payer denials for appropriate response to ensure claim reimbursement

Research claim payment and claim follow-up

QUALIFICATIONS 1-3 years of experience working with health insurance claims is preferred

Associates degree preferred, High school Diploma or equivalent required

Working knowledge of ICD-10 and CPT/HCPCS coding standards

Excellent verbal skills and phone etiquette

Ability to problem solve and think critically to identify payer trends

Computer proficiency with Microsoft Word, Excel and other office software applications is preferred Certified Revenue Cycle Specialist-Institutional accreditation is preferred

Must pass a drug test and pre-employment background check.