Independent Dispute Resolution Specialist

Job Description

Exceptional healthcare is a premier, integrated healthcare provider that offers emergency medical

care, inpatient and outpatient services in major metropolitan areas. We are a dynamic, quickly

growing company based in Dallas, TX but located in several states. We are currently in the process

of hiring several Independent Dispute Resolution Specialist to perform collection activities on NSA

Negotiations. To succeed in this role, you must possess in-depth knowledge of medical insurance

policies. The ideal candidate must also be able to demonstrate excellent written and verbal

communication skills, as they will be communicating with various insurance companies. This

position requires an individual that can multi-task, problem solve, and manage time effectively.

Pay: $18.00 - $20.00 per hour.

Job Requirements/Qualifications

1 YEAR OF MEDICAL INSURANCE COLLECTION EXPERIENCE (REQUIRED).

Medical Insurance Collection: 1 year (Required)

Insurance Negotiation: 2 years (Required)

Medical Follow up: 1 year (Required)

Excellent organization, time management, self-starting, analytical, and detailed

Insurance Negotiation experience; knowledge of insurance plans providers- BCBS, UHC, Aetna/Cigna or self-funded/commercial providers required

Knowledge of Electronic Medical Records, Collections, and Hospital Billing Experience (Required)

Knowledge of EOB'S, HIPPA, ICD-10 codes, and CPT codes. Essential Job functions and responsibilities

Investigates, and responds to inquiries from payors

Research error makes necessary corrections for clean claim production and submission

Actively follow-up and negotiate on all assigned payers, and facilities

Follow up on posting errors

Review Insurance EOB and initiate appeals, negotiations, Center of Medicare Service Complaints as necessary

Resolves insurance requests, inquiries, concerns, in an expedient and respectful manner

Schedule

Hybrid position, partly remote and partly in office

8 hour shift

Monday to Friday

Benefits

Health insurance

401(k)

Dental insurance

Vision insurance

401(k) matching

Life insurance

Paid time off (PTO)

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