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Medical Billing/AR Specialist - Remote

Posted 7 hours ago
Customer Service
Full Time
USA

Overview

The Medical Billing/AR Specialist will manage payment collection activities, ensuring disputes are resolved and claims are processed efficiently.

In Short

  • Conduct collection activities on appealed claims.
  • Provide ongoing collection efforts on appeals.
  • Request additional information from patients and medical records.
  • Communicate with insurance plans regarding coverage.
  • Review contracts for billing or coding issues.
  • Handle other assigned duties as necessary.

Requirements

  • Understanding of the revenue cycle process.
  • Knowledge of Managed Care collections.
  • Familiarity with terms like HMO, PPO, and Capitation.
  • Knowledge of Managed Care contracts and regulations.
  • Intermediate understanding of hospital billing forms.
  • Experience in medical claims or hospital collections.
  • Minimum high school education or related experience.

Benefits

  • Work from home with provided equipment.
  • Must have excellent internet connectivity.
  • Quiet and secure workspace required.
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Sutherland

Sutherland is a dynamic and analytical company focused on workforce management solutions. With a team of energetic and dedicated individuals, Sutherland emphasizes the importance of workforce planning, scheduling, and real-time management to enhance operational efficiency. The company seeks to build fulfilling careers for its employees while driving success through effective analysis, implementation of systems, and collaboration with local managers and project leaders. Sutherland values strong communication, leadership, and analytical skills, aiming to uphold performance metrics and foster a supportive team environment.

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