Medical Insurance Collector/Account Representative
Oak Brook, IL Oak Brook, IL Full-time Full-time Estimated:
$33.
5K - $42.
4K a year Estimated:
$33.
5K - $42.
4K a year 12 hours ago 12 hours ago 12 hours ago About NANI:
NANI is the nation's largest Nephrology practice.
We have provided excellence in specialty kidney care for over 50 years.
NANI's nephrology practices are primarily operated in northern Illinois and throughout northern and central Indiana, with additional locations in New Jersey.
NANI's scope of care and services includes difficult-to-control hypertension, kidney disease, kidney injury, kidney transplant, and related services, as well as groundbreaking and lifesaving clinical research and consulting services.
Join Our Team! NANI is seeking a professional, reliable, and detail-oriented Account Representative to join our Revenue Cycle team.
We are hiring for multiple openings! This role interacts with a variety of health insurance organizations to ensure that NANI medical providers are paid promptly and accurately for their services.
We offer a comprehensive benefits package including a great schedule (flexible start and end times, no weekends), medical, dental, vision insurance as well as a wide range of supplemental benefits and discount programs including tuition reimbursement.
We offer a complete time off package for full time colleagues including company paid holidays and PTO.
What You'll Do INSURANCE CLAIM SERVICE:
Partner with health insurers to ensure timely and complete payments of outstanding insurance claims.
Coordinate and process payments from insurance carriers and troubleshoots any issues related to these payments.
This involves properly documenting claim files, requesting reports and records, reviewing medical bills and A/R reports, and engaging in regular telephone and internet communications with insurance payers to discuss claims.
CLAIM STATUS MANAGEMENT:
Monitor status of insurance claims pending payment by accessing various insurance portals.
Correct and resubmit claims to payers as necessary; notify the billers of claim errors.
Identify payer trends and notifies manager of negative trends.
CLAIM APPEALS:
Process timely appeal of denied, rejected, or delinquent insurance claims.
Familiarity with complex claims denial reasons and how to appeal the denials.
Resolves denials or partially paid claims through interaction with insurance carriers, patients, hospitals, dialysis units or physicians.
DATA AND INFORMATION MANAGEMENT:
Maintains accurate records and information, including preparing, generating and reviewing reports.
Updates data discrepancies identified in reports and systems.
Accurately documents pending and completed work activities using appropriate systems.
Achieves revenue and productivity goals by effectively managing receivables.
Other duties as assigned.
What You'll Bring Experience in a medical billing or health insurance role preferred.
Knowledge of insurance guidelines and requirements, medical documentation, billing and third-party reimbursement strongly preferred.
High school diploma or equivalent.
Ability to solve problems and answer questions quickly.
Computer proficiency in Windows-based applications.
Experience with electronic medical records systems (Nextgen PM and Epic) preferred.
Excellent time management skills and ability to multi-task and prioritize work in a fast-paced environment.
Must be self-started who can work independently yet function in a highly collaborative, fast paced, team environment.
Ability to work well under pressure and meet deadlines effectively.
Strong communication and organizational skills.
Must have a positive, friendly attitude.
Reliability and compliance with attendance standards.
#LP #ZR.
Estimated Salary: $20 to $28 per hour based on qualifications.
$33.
5K - $42.
4K a year Estimated:
$33.
5K - $42.
4K a year 12 hours ago 12 hours ago 12 hours ago About NANI:
NANI is the nation's largest Nephrology practice.
We have provided excellence in specialty kidney care for over 50 years.
NANI's nephrology practices are primarily operated in northern Illinois and throughout northern and central Indiana, with additional locations in New Jersey.
NANI's scope of care and services includes difficult-to-control hypertension, kidney disease, kidney injury, kidney transplant, and related services, as well as groundbreaking and lifesaving clinical research and consulting services.
Join Our Team! NANI is seeking a professional, reliable, and detail-oriented Account Representative to join our Revenue Cycle team.
We are hiring for multiple openings! This role interacts with a variety of health insurance organizations to ensure that NANI medical providers are paid promptly and accurately for their services.
We offer a comprehensive benefits package including a great schedule (flexible start and end times, no weekends), medical, dental, vision insurance as well as a wide range of supplemental benefits and discount programs including tuition reimbursement.
We offer a complete time off package for full time colleagues including company paid holidays and PTO.
What You'll Do INSURANCE CLAIM SERVICE:
Partner with health insurers to ensure timely and complete payments of outstanding insurance claims.
Coordinate and process payments from insurance carriers and troubleshoots any issues related to these payments.
This involves properly documenting claim files, requesting reports and records, reviewing medical bills and A/R reports, and engaging in regular telephone and internet communications with insurance payers to discuss claims.
CLAIM STATUS MANAGEMENT:
Monitor status of insurance claims pending payment by accessing various insurance portals.
Correct and resubmit claims to payers as necessary; notify the billers of claim errors.
Identify payer trends and notifies manager of negative trends.
CLAIM APPEALS:
Process timely appeal of denied, rejected, or delinquent insurance claims.
Familiarity with complex claims denial reasons and how to appeal the denials.
Resolves denials or partially paid claims through interaction with insurance carriers, patients, hospitals, dialysis units or physicians.
DATA AND INFORMATION MANAGEMENT:
Maintains accurate records and information, including preparing, generating and reviewing reports.
Updates data discrepancies identified in reports and systems.
Accurately documents pending and completed work activities using appropriate systems.
Achieves revenue and productivity goals by effectively managing receivables.
Other duties as assigned.
What You'll Bring Experience in a medical billing or health insurance role preferred.
Knowledge of insurance guidelines and requirements, medical documentation, billing and third-party reimbursement strongly preferred.
High school diploma or equivalent.
Ability to solve problems and answer questions quickly.
Computer proficiency in Windows-based applications.
Experience with electronic medical records systems (Nextgen PM and Epic) preferred.
Excellent time management skills and ability to multi-task and prioritize work in a fast-paced environment.
Must be self-started who can work independently yet function in a highly collaborative, fast paced, team environment.
Ability to work well under pressure and meet deadlines effectively.
Strong communication and organizational skills.
Must have a positive, friendly attitude.
Reliability and compliance with attendance standards.
#LP #ZR.
Estimated Salary: $20 to $28 per hour based on qualifications.
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