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Ridgeview Institute - Smyrna

Insurance Collections Specialist

Ridgeview Institute - Smyrna, Smyrna, Georgia, us, 30081

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Revenue Cycle Analyst Join our team as a Revenue Cycle Analyst! Your work matters. How will you make a difference?

Salary Base pay range: $20.00/hr - $24.00/hr

Responsibilities Contacting commercial and managed Medicaid payors to collect on unpaid claims in a timely and accurate manner, submit account corrections and adjustments, denial management, payment variance management, and appeal submissions when required. Works with management to identify trends and address root causes of issues in the A/R. This position involves collaboration with other team members and departments; communication is essential in this role as account resolution must occur within a timely manner.

Job Related Skills

Understanding of third‑party payor rules and regulations.

Ability to read UB04 forms.

Able to read and understand an EOB.

Can take the necessary action for account resolution in accordance with established federal and state regulations.

Can verify benefits via online portal or over the phone.

Understand payor contracts and can verify the insurance company has paid correctly.

Ability to identify next steps required when a claim has been denied/rejected.

Excellent communication is needed to document accounts accurately.

Strong organizational and communication skills.

Strong ability to prioritize and efficiently manage time.

Note: The essential job functions of this position are not limited to the duties listed above.

Seniority Level Entry level

Employment Type Full-time

Job Function Finance

Industry Hospitals and Health Care

Location Ridgeview Institute - Smyrna

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