Offer summary

Qualifications:

At least 4 years of experience in accounts receivable (AR) and denial management., Experience working with insurance companies and knowledge of insurance guidelines., Strong problem-solving skills and effective communication abilities., Familiarity with EMR systems like Brightree and health insurance regulations..

Key responsabilities:

Resolve complex billing issues to ensure timely payments to providers.

Identify root causes of submission failures and payment delays.

Verify patient insurance details and manage appeals for denied claims.

Stay updated on insurance regulations and coordinate follow-ups with insurance companies.

Job description

At Limitlessli we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

The Opportunity:

Are you an expert in navigating complex billing issues and passionate about ensuring timely payments? We’re looking for a skilled AR Denial Management Specialist to support our team who support our East Coast-based US healthcare client. In this role, you’ll tackle challenging billing problems, work closely with insurance companies, verify patient insurance details, and manage appeals and denied DME claims. You'll also stay up-to-date with the latest insurance regulations and utilize top EMR systems like Brightree.

This position is remote and offers you the flexibility of working from home.

Your responsibilities will include:

Resolve complex billing issues to ensure providers receive full and timely payments
Identify root causes of submission failures, underpayments, and payment delays
Stay updated on insurance regulations and adapt to ongoing changes
Coordinate and ensure timely and thorough follow-up with insurance companies
Verify the accuracy of patient insurance and demographic information
Adhere to specific guidelines for appeals submission and ensure timely and accurate follow-through on all appeals
Review and process denied or rejected insurance and healthcare claims promptly

To succeed in this role you will need:

At least 4 years of experience in accounts receivable (AR) and denial management
Experience working with insurance companies
Strong problem-solving skills to research and resolve discrepancies, denials, appeals, and collections
Knowledge of insurance guidelines, including HMO, Medicare, Medicaid, and other commercial payers
Experience with EMR systems such as Brightree is a plus
Knowledge of health insurance and billing regulations, including CPT, ICD-10, and HCPCS codes
Strong communication skills and the ability to work effectively in a team environment
Effective phone communication skills for resolving issues with insurance payers
Customer service skills for interacting with patients regarding medical claims and payments

Service Fee:

Industry standards applicable depending on work experience and level of expertise.

Hours:

US Eastern Standard Time (EST) – 9 AM to 6 PM

Why Limitlessli?

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

Essential requirements:

You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You’ll also be required to have a backup internet connection, ensuring that you’re well-equipped to complete your work seamlessly.

Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team! If you're interested in what you have read, then we invite you to take the next step and submit your application.