Clinical Laboratories of Hawaii, LLP
Reimbursement Coordinator II
Clinical Laboratories of Hawaii, LLP, Dallas, Texas, United States, 75201
Sonic Healthcare USA: Accounts Receivable Specialist
Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members! Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions. Location: Dallas, Texas Days: Monday - Friday Hours: 7:30 am - 4:00 pm Full-time: Benefit Eligible In this role, you will: Understand all aspects of the billing system to properly perform job responsibilities. Follow-up on outstanding A/R balances in a timely manner. Manage assigned accounts related to denials, claim rejections, and unprocessed claims. Review payer correspondence and respond accordingly. Research denied claims thoroughly to determine proper resolution. Use proper appeals/reconsideration protocol specific to each health plan as required to further collections' efforts. Research payer policies to ensure proper processing and resolution of denied claims and/or appeals. Contact insurance companies as needed for appeals/reconsideration status on outstanding appeals. Perform necessary adjustments as outlined by payer contracts and management. Ensure claims are processed according to network requirements and in alignment with ProPath's contracts. Identify payer trends related to reimbursement issues, denial patterns, payment discrepancies, etc. to ensure quick resolution and maximize revenue. Back-up Patient Call Center as needed to ensure patient/client calls are handled in a timely and professional manner. All you need is: High School Diploma or equivalent 3 years of medical billing experience Basic knowledge of CPT/ICD-10 and HCPCS codes, modifiers and CMS 1500 professional claims processing required. Ability to effectively communicate orally and in writing with payers Knowledge of Medical Insurance claim processing a must Familiarity with Microsoft software including Excel, Word, and Outlook. Bonus points if you've got: Associate's Degree or Medical Assistant training 2+ years of laboratory training or experience in specimen collection and processing Data entry experience in a production environment We'll give you: Appreciation for your work A feeling of satisfaction that you've helped people Opportunity to grow in your profession Free lab services for you and your dependents Work-life balance, including Paid Time Off and Paid Holidays Competitive benefits including medical, dental, and vision insurance Help saving for retirement, with a 401(k) plus a company match A sense of belonging
we're a community! Company: Sonic Anatomic Pathology We also want you to know: This role will have routine access to Protected Health Information (PHI). Employees will be trained on reasonable safeguards and are expected to maintain strict confidentiality, as well as abide by all applicable privacy and security standards. Employees are expected only to access PHI when it is required to fulfill job duties. Scheduled Weekly Hours: 40 Work Shift: Not specified Job Category: Accounts Receivable Company: ProPath Services, LLC Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members! Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions. Location: Dallas, Texas Days: Monday - Friday Hours: 7:30 am - 4:00 pm Full-time: Benefit Eligible In this role, you will: Understand all aspects of the billing system to properly perform job responsibilities. Follow-up on outstanding A/R balances in a timely manner. Manage assigned accounts related to denials, claim rejections, and unprocessed claims. Review payer correspondence and respond accordingly. Research denied claims thoroughly to determine proper resolution. Use proper appeals/reconsideration protocol specific to each health plan as required to further collections' efforts. Research payer policies to ensure proper processing and resolution of denied claims and/or appeals. Contact insurance companies as needed for appeals/reconsideration status on outstanding appeals. Perform necessary adjustments as outlined by payer contracts and management. Ensure claims are processed according to network requirements and in alignment with ProPath's contracts. Identify payer trends related to reimbursement issues, denial patterns, payment discrepancies, etc. to ensure quick resolution and maximize revenue. Back-up Patient Call Center as needed to ensure patient/client calls are handled in a timely and professional manner. All you need is: High School Diploma or equivalent 3 years of medical billing experience Basic knowledge of CPT/ICD-10 and HCPCS codes, modifiers and CMS 1500 professional claims processing required. Ability to effectively communicate orally and in writing with payers Knowledge of Medical Insurance claim processing a must Familiarity with Microsoft software including Excel, Word, and Outlook. Bonus points if you've got: Associate's Degree or Medical Assistant training 2+ years of laboratory training or experience in specimen collection and processing Data entry experience in a production environment We'll give you: Appreciation for your work A feeling of satisfaction that you've helped people Opportunity to grow in your profession Free lab services for you and your dependents Work-life balance, including Paid Time Off and Paid Holidays Competitive benefits including medical, dental, and vision insurance Help saving for retirement, with a 401(k) plus a company match A sense of belonging
we're a community! Company: Sonic Anatomic Pathology We also want you to know: This role will have routine access to Protected Health Information (PHI). Employees will be trained on reasonable safeguards and are expected to maintain strict confidentiality, as well as abide by all applicable privacy and security standards. Employees are expected only to access PHI when it is required to fulfill job duties. Scheduled Weekly Hours: 40 Work Shift: Not specified Job Category: Accounts Receivable Company: ProPath Services, LLC Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.