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Revenue/Credentialing Specialist
Location:
Greenwood, MS
Description:
Revenue/Credentialing Specialist Dr. Arenia C. Mallory Community Health Center is actively recruiting for a Revenue/Credentialing Specialist to assist our Front Desk/Receptionist with providing and monitoring private pay, Medicaid, Medicare and Insurance billing and payment processing and the accounts receivable system. The Revenue/Credentialing Specialist works with Medicaid, Medicare, and Insurance claims, post payments to accounts and performs various other tasks that relates to billing and collections. EDUCATION/EXPERIENCE: AA Degree from a Business or Technical school with one year experience or High school diploma or GED with 3 years of related and/or training or equivalent combination of education and experience. ESSENTIAL DUTIES/RESPONSIBILITIES: Gathers Medicaid, Medicare, and insurance billing information by reviewing patient medical records and checking for completeness. Ensures payments by verifying accuracy of Medicaid, Medicare, and insurance coding. Bills Medicaid, Medicare, and Insurance carrier by inputting billing information to database and initiating electronic transmissions. Resolves disputed claims by gathering, verifying, and providing additional information; following-up on claims. Resolves discrepancies by examining and evaluating data and selecting corrective steps. Adjusts patient bills by reviewing remittance advice and consulting with receptionist. Prepares monthly reports of Medicaid, Medicare, and Insurance billing by summarizing billings, adjustments, and revenues received. Updates job knowledge by participating in educational opportunities; reading professional publications; keeping current on Medicaid, Medicare, Insurance billing and reimbursement procedures. Serves and protects the organization by adhering to professional standards, insurance policies and procedures, federal, state, and local requirements. Demonstrate the ability to write and balance deposit slips correctly. File and key secondary Insurance claims once primary insurance Explanation of Benefits is received for Medicaid, Medicare, and Insurance. Demonstrate the ability to file insurance forms within appropriate time frame. Correct invalid diagnoses, CPT codes and resubmit all the necessary claims and documentation in a timely manner. Able to contact insurance companies for status on claims as necessary. Demonstrate the ability to communicate with patients concerning accounts. Report to Supervisor concerning problems with insurance and patient accounts balances. Effective collect data necessary for preparing proper Financial Reports. Perform other necessary duties as required by Mallory CHC to meet the goal of providing primary health care. BENEFITS PACKAGE INCLUDES: Health (Medical) Insurance Dental Insurance Vision Insurance Basic Life and AD&D Insurance Ancillary Benefits (Accident, Cancer, Disability, Critical Illness, Whole Life, Term Life, and Hospital Confinement) Holiday Pay Vacation and Sick Leave Package Retirement Plan Professional Liability Insurance Coverage Student Loan Forgiveness Program Incentive Production Bonus Paid Professional Membership Fee Allowance Continuing Education Leave and Training Education Allowance Guaranteed Work Schedule: Mon-Thurs 8am to 5pm and Fri 8am-2pm In addition, your compensation package includes the following - Health insurance paid up to 85%, 403B Retirement Plan, Free Basic Life and AD&D Insurance, MCHC Employee Patient Privileges, Free Employee Assistance Program: "WorkLife Matter" Access (Telehealth), Legal Assistance Services, and Identity Protective Monitoring Services and more. Job Type: Full-Time Salary Range: Negotiable Commensurate with experience and qualifications
Company:
DR Arenia C Mallory Community Health Center
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Revenue/Credentialing Specialist
Revenue/Credentialing Specialist is a Jobs Revenue Credentialing Job at DR Arenia C Mallory Community Health Center located in Greenwood MS. Find other listings like Revenue/Credentialing Specialist by searching Oodle for Jobs Revenue Credentialing Jobs.
Revenue/Credentialing Specialist is a Jobs Revenue Credentialing Job at DR Arenia C Mallory Community Health Center located in Greenwood MS. Find other listings like Revenue/Credentialing Specialist by searching Oodle for Jobs Revenue Credentialing Jobs.