Duties and Responsibilities: Duties will include, but may not be limited to:
Serve as liaison between client/facility and their respective insurance carrier
Review AR on a daily basis to ensure reimbursement goals are maintained and achieved.
Able to interact with various third party insurance carriers and clearinghouses accurately and timely to identify and resolve systematic issues.
Collect and submit data in order to objectively identify patterns of intervention, which result in desired patient outcomes.
Evaluates payments/denials received and ensures claims are escalated with respective insurance companies correctly.
Ability to deal with highly sensitive accounts and exercise good judgment in solving complex situations.
Consistently looks for areas to maximize claim reimbursements.
Maintains broad knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
Provide feedback to management based on research and calls to payers to establish payer behavioral trends.
Cooperate and communicate effectively with peers, and facilities. Follow appropriate communication channels through organizational structure.
Observe confidentiality of patient information and HIPAA regulations.
Adapt to changes in a positive manner, giving constructive feedback. Work as an effective team member, collaborating with other disciplines in the provision of care.
Participate in professional, continuing education related to their field and keep a record of continuing education attendance.
Identify performance improvement opportunities and participate in quality improvement endeavors.
Requirements
Knowledge:
Working knowledge of insurance companies and policies.
Skills:
Computer literacy with spreadsheets, word-processing, business systems. (Microsoft Word, Excel, Outlook)
Ability to effectively communicate with staff and clients.
Knowledge of at least one of the following EMR’s: Kipu, Best Notes, Alleva
Skills Required
- Working knowledge of insurance companies and policies
- Computer literacy with spreadsheets, word-processing, business systems
- Ability to effectively communicate with staff and clients
- Knowledge of at least one EMR like Kipu, Best Notes, Alleva
What We Do
Landterra provides smart outsourcing solutions, including KPO, BPO, LPO, and RCM, aimed at reducing costs, enhancing efficiency, and enabling businesses to scale globally.
