Account Resolution Specialist

  • location: North Las Vegas, NV
  • type: Contract
  • salary: $19 - $22 per hour
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job description

Account Resolution Specialist

job summary:
Randstad Professionals is recruiting for an experienced Account Resolution Specialist for a growing hospital in Las Vegas. This position will primarily be responsible for the hospital billing and collections .

 
location: North Las Vegas, Nevada
job type: Contract
salary: $19 - 22 per hour
work hours: 8 to 5
education: No Degree Required
experience: 3 Years
 
responsibilities:
  • Handles billing of payer claims (primary, secondary and tertiary) according to contract terms to include Medicare and Medicaid guidelines.
  • Runs assigned daily billing reports to determine account needs and updates files with current billing information.
  • Reviews and confirms that appropriate billing documentation has been obtained, including authorizations and Certificates of Medical Necessity as required.
  • Maintains knowledge of Medicaid and Medicare guidelines and applies that knowledge to billing as required by individual contracts.
  • Understands Medicaid, Medicare and Insurance billing, including coordination of benefits.
  • Monitors electronic transmission of claims to avoid delay in processing of E-bill file to clearinghouse. Check and balance all claims were loaded and file was received.
  • Identifies, monitors and corrects rejected electronic and paper claims.
  • Works with Team Leader and Supervisor to maintain accuracy of reference materials and implementation of new billing codes and fee schedules.
  • Multi-tasks in various computer applications to gather billing and collection information.
  • Verifies data entry to ensure accuracy of imported/keyed data.
  • Works un-billed revenue reports to verify pending claims and bring them closure.
  • Reconciles open accounts to clearly establish patient responsibility.
  • Collect on past due accounts
 
qualifications:
  • AA Degree preferred but not required
  • 5+ years Medical Billing/Collections experience
  • Knowledge of Medicare guidelines, Medicaid programs, Managed Care and Commercial contracting
  • Proficiency in Windows environment, with emphasis on Word and Excel
Compensation is up to $22/hr based on experience. Qualified candidates please click apply or email resume to mark.hunter@randstadusa.com for immediate consideration.

 
skills: Medical Terminology, Medical Billing, Medical Billing - Charge Master, Medical Billing - Denials, Medical Billing - Underpayments
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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