Insurance and Claims Representative - Renown Health - Reno, NV

Insurance and Claims Representative - Renown Health - Reno, NV -

The Insurance and Claims Representative is accountable for the billing and collections of Renown healthcare claims, making certain well timed and correct declare submission, maximizing reimbursement for these providers rendered to be able to keep a constant money move. Nature and Scope:The Insurance and Claims Representative is liable for: Accuracy and completeness of affected person accounts for billing and comply with-up of healthcare claims to make sure well timed declare adjudication in accordance with Renown insurance policies and healthcare payor guidelines and laws. Assessment, analysis and submission of further documentation to payors that don’t settle for digital claims or require particular dealing with. Conducts immediate comply with up with insurance corporations by telephone or reviewing on-line payor portals, performing essential comply with up motion to acquire cost. Documenting the affected person account and finishing inquiries from sufferers, insurance corporations, inner departments, attorneys and third celebration payers in a well timed method whereas offering wonderful customer support. Aiding with evaluation and decision of denials, credit score balances or underpayments as assigned. This place is required to function inside coverage and procedural tips that may guarantee correct accounts receivable reporting and is compliant with coverage and procedural tips in keeping with Renown Health objectives and aims. This place doesn’t present affected person care. The foregoing description shouldn’t be meant and shouldn’t be construed to be an exhaustive record of all obligations, expertise and efforts or work circumstances related to the job. It’s meant to be an correct reflection of the overall nature and degree of the job. Minimal Qualifications: Necessities – Required and/or Most popular Schooling: Should have working-degree information of the English language, together with studying, writing and talking English. Expertise: Should have a minimal of six months relevant pc software expertise in a enterprise setting. Earlier healthcare expertise is most popular. License(s): None. Certification(s): None. Pc / Typing: Should possess, or have the ability to acquire inside 90 days, the computer systems expertise vital to finish on-line studying necessities for job-particular competencies, entry on-line varieties and insurance policies, full on-line advantages enrollment, and so forth. EEO/M/F/Vet/Disabled

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Renown Health is a not-for-revenue Nevada well being community and a nationally acknowledged healthcare chief. Renown Health is northern Nevada’s…

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