Job Description

• Accessing, Evaluating, Processing pulled accounts for corrections on claims / denials.

• Maintains a high level of professionalism and work ethic to pull as many complex claims and process as efficiently and effectively during shift.

• Properly diagnoses through claim research where accounts are lacking / reading errors.

• Responsible to work on claims from Rehab and Home Health Facilities to collect owed money from the Insurance Companies

• Responsible to research the claim to ensure all information is correct, then send to Insurance company to collect payment

• Will maintain follow up with claims to ensure the Insurance company received the claim, and get an update for expected payment

• Responsible for billing, collections and account reconciliation for assigned accounts

Compliance:

• Drug Screen & Background Check

Expected Shift/Hours: Monday-Friday // 8:30a - 5:00p

Onsite for the first four weeks, can choose to be remote, onsite, or hybrid after training

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.