Healthcare Account Specialist - MVA Claims

Account Control Technology • Houston, TX

158d • $17 - $20 • Remote

About The Position

Transworld Systems, Inc. is an industry leader for over 40 years, in providing business process outsourcing services including accounts receivable management, customer relationship management and back office services for a diversified customer base. Our 60,000 clients are empowered to successfully address immediate business needs, while facilitating long-term growth across the entire customer lifecycle. This is a remote/work from home position with a compensation range of $17-$20 DOE.

Requirements

• 2 years' experience in Healthcare reimbursement, physician's office, clinic, or a healthcare revenue cycle role is required.
• Ability to work independently.
• Ability to work with various EHR software (example: EPIC, Cerner, Meditech etc.).
• Ability to work well under pressure.
• Strong attention to detail.
• Strong knowledge of Microsoft Office Suite (Word, Excel, Outlook etc.) required.
• Strong analytical, problem-solving and conflict resolution skills.
• Excellent oral and written communication skills; professional phone etiquette.

Responsibilities

• Work assigned caseload of Healthcare claims accounts.
• Contact insurance companies, employers, and/or patients or their attorneys to resolve claims.
• Draft appeals and demands to insurance companies ensuring timely resolution and payment of claims.
• Argue verbally over the phone with insurance companies to get denials overturned and paid.
• Utilize federal and state laws, statutes, and settlement negotiations.
• Maintain a working knowledge of assigned clients, states, and insurers.
• Submit bills to insurance companies electronically, by mail or fax.
• Group accounts by payer and submit for claim status inquiries via web portals.
• Request copies of cancelled checks from payers as needed.
• Search internet databases for information on insurance company, employer, and patient when applicable.
• Work in a fast-paced environment and achieve monthly QA and productivity goals.
• Perform review on accounts for expected reimbursement to determine if additional payment should be pursued when applicable.

Benefits

• Work from home.
• Paid training.
• Team-oriented work environment.
• Growth opportunity.
• Comprehensive benefits package available: including medical, dental and vision, 401k retirement plan with employer matching, paid time off and paid holidays.

What This Job Offers

• Industry: Administrative and Support Services