Operations and Quality Specialist at PPLM ensuring quality standards and efficient operations in health centers. Collaborating with clinical and administrative teams while managing multiple projects in a hybrid work model.
About the role
- Accounts Receivable Specialist verifying insurance and managing medical billing operations for Cardinal Health. Collaborating with healthcare providers to ensure accurate and timely claims processing.
Responsibilities
- Verifying patient insurance and benefits
- Preparing and submitting claims to payers
- Correcting rejected claims
- Following up on unpaid and denied claims
- Posting payments
- Managing accounts receivable
- Assisting patients with payment plans
- Maintaining accurate and confidential patient records in compliance with regulations like HIPAA
Requirements
- HS, GED, bachelor’s degree in business related field preferred, or equivalent work experience preferred
- 2 + years’ experience as a Medical Biller or within Revenue Cycle Management preferred
- Strong knowledge of Microsoft Excel
- Ability to work independently and collaboratively within team environment
- Able to multi-task and meet tight deadlines
- Excellent problem-solving skills
- Strong communication skills
- Familiarity with ICD-10 coding
- Competent with computer systems, software and 10 key calculators
- Knowledge of medical terminology
Benefits
- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs
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