Healthcare Follow Up Physicians Office (Remote)

About the position Responsibilities • Perform advanced work related to resolving physician claim denials. • Identify the root causes of physician payer denials and implement solutions. • Understand procedures impacted by National Correct Coding Initiative Edits (NCCI). • Prepare and submit appeal documentation to resolve denials. • Collaborate on and implement initiatives to reduce denials. • Use exceptional problem-solving and critical thinking skills to resolve accounts and meet quality and productivity standards. • Demonstrate knowledge of state/federal billing guidelines, reimbursement methodologies, and payer policies. • Suggest additions, revisions, or deletions to work queues and claim edits to improve efficiency. • Identify patterns in denials and escalate to management with sufficient information for follow-up. • Use Excel to summarize and provide detailed reporting to management and clients. • Track and trend claim denials and underpayments to identify improvement initiatives. • Ensure all actions are documented, appeal letters are effective, and root causes are communicated clearly. Requirements • 2-3 years in healthcare revenue cycle. • HS Diploma. • Proficiency in Excel, payer portals, and claims clearinghouses. Nice-to-haves • Associate or bachelor's degree preferred. Benefits • Medical/Dental/Vision/Life Insurance • Paid holidays plus Paid Time Off • 401(k) plan and contributions • Long-term/Short-term Disability • Paid Parental Leave • Employee Stock Purchase Plan Apply tot his job Apply To this Job