Accounts Receivable Denials Specialist
About The Position
At AnswersNow, we are trailblazing the future of autism therapy, making it more immediate, accessible, and effective for families everywhere. Our innovative virtual ABA therapy platform is thoughtfully designed by clinicians to recreate the focused, supportive environment of in-person therapy, complete with distraction-free features and interactive activities that enhance engagement and progress. Our team operates fully remotely—meaning you’ll have the flexibility to work from home, and will never have to report on-site to provide client support. If you're ready to make a meaningful impact and join a team that's reshaping autism therapy, we’d love to hear from you!
Requirements
- At least 3 years of experience working insurance claim denials including Medicaid/Medicaid MCOs
- Reliable internet connection and private workspace
Nice To Haves
- Experience with Candid (preferred)
Responsibilities
- Denial Review and Resolution: Review and resolve denied insurance claims by contacting insurance carriers, researching denial reasons, and ensuring accurate billing and coding practices.
- Documentation and Appeal: Compile necessary documentation to support insurance appeals and collaborate with other departments to address editing, coding, and payment issues.
- Trend Analysis: Identify denial trends and work with billing and coding teams to implement process changes to prevent future denials.
- Follow-up and Communication: Maintain communication with insurance companies and patients to ensure accurate and timely payment.
- Compliance: Stay abreast of current insurance regulations and managed care contractual obligations.
- Customer Service: May assist with patient phone calls and customer service inquiries.
- Reporting: May be responsible for generating reports on denial trends and other relevant metrics.
- Cash Reconciliation/Payment Posting: Review and post electronic and manual payments from insurance carriers and patients, Perform reconciliation of bank deposits to posted payments.
Benefits
- $28 per hour
- Fully remote – work from anywhere in the U.S.
- Flexible hours with an async-friendly team culture
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What This Job Offers
Education Level
No Education Listed
Number of Employees
11-50 employees
