3034 IT & Software Developer jobs in the US

Software Guidance & Assistance jobs

Collections representative

$92,000 - 118,000
Software Guidance & Assistance
White Plains Road 220, Weatherford
$92,000 - 118,000
Company Size icon
Company Size
200-500
Company Type icon
Company Type
Services
Exp Level icon
Exp Level
Regular
Job Type icon
Job Type
Full-Time
Language icon
Language
English
Visa sponsorship icon
Visa sponsorship
No

Requirements

Must:
- Minimum of 2 years of experience in medical claims recovery and/or collections required - Experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance setting - Strong organizational skills and flexibility in managing complex unpaid claims - In-depth knowledge of billing and collections regulations - Familiarity with Medicaid, Medicare, and insurance billing requirements - Self-motivated with the ability to work collaboratively and independently - Proficient in effective communication with patients, insurance entities, clinical personnel, and management - Capability to manage a high volume of work - Ability to thrive in a fast-paced, production-oriented environment - Excellent customer service skills - Commitment to strong work ethics and job responsibilities - Professional and courteous demeanor with assertiveness in collection efforts - Quick and precise alpha/numeric data entry skills - Maintaining a positive image that reflects well on the organization - Strong written and verbal communication abilities

Technologies

CMS

Responsibilities

- Review, investigate, and resolve claim denials and appeals with various insurance providers to optimize collections - Analyze Explanation of Benefits (EOB) from payors to assess claims handling - Contact insurance carriers to verify the status of claims and appeals - Possess knowledge regarding diverse payors including Managed Care, Commercial, Medicare, and Medicaid - Prepare and submit appeals for denied services - Assess payer denials based on groups and initiate appeals - Communicate with patients and/or third-party payers to settle outstanding insurance balances and underpaid claims - Implement necessary adjustments according to plan reimbursements - Act as a liaison between clinical departments and MSRDP management - Complete special projects as assigned - Perform other duties as needed

Description


We are Software Guidance & Assistance, Inc. (SGA), a women-owned business and a leading technology and resource solutions provider focused on delivering innovative solutions to significant IT challenges. We offer a flexible work-from-home opportunity for our Collections Representative role, which entails that successful candidates reside within the Greater DFW area for occasional office meetings and equipment pickups. Our mission is to foster a personal, boutique approach and to enhance collaboration among our diverse team, built on core values of customer service, employee development, and unwavering integrity. Join us and discover a workplace where you can be yourself, pursue your passions, and thrive in a supportive environment.
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You can find Business Specialist salaries in the United States here.

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