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DME Reimbursement Advocate In Plano

Company: Aston Carter
Location: Plano
Posted on: November 25, 2022

Job Description:

Description:We are seeking a Reimbursement Advocate in east Plano. You will be working with Dr offices for documentation procurement and working with the patients to make sure they go to their appointments, if we need current chart notes on their medical need etc. Job Description: ---Collect payments for outstanding open accounts receivable balances. ---Works with Medicare, Medicaid, Commercial Insurance, and Private Pay to ensure medical claims are being processed timely and paid accurately. ---Must meet/exceed daily/weekly production & quality KPI standards. ---Ensures all billing systems are updated timely with patient demographics, payer information, and notated appropriately. ---Analyzes payer claim rejections & denials to help determine root cause and prevention of future rejections & denials from reoccurring. ---Gathers, prepares, and submits required information and/or documentation to appeal claim denials. ---Uses appropriate write off reason code(s) for writing off balances that are deemed uncollectable. ---Responsible for assisting our patients, doctors, customers, and coworkers with billing inquiries at the highest-level support possible. This includes logging into phone queue and updating statuses appropriately. ---Ensures the billing of all claims via electronic or paper to Medicare, Medicaid, and Commercial Insurance payers are being submitted accurately and timely---Ensures RUL (Reasonable Usable Lifetime) patients exiting the monthly cap period are in a billable status. ---Responsible for working NME's (New Medicare Eligibility), Payor Changes, Pending Pick-ups, and Stop patients timely. Verifies and evaluates insurance benefits to determine the policy's compatibility services ---Ensures the timely procurement of all required documentation and obtain authorizations in order to prevent future denials. ---Ensures that appropriate medical records are maintained according to HIPAA guidelinesAdditional Details: ---1-2 years of experience in Medicare, Medicaid and/or Commercial Insurance cash application, required ---Location: 75074 ---Pay: $19-$21/hr ---Schedule: M-F 8 a.m. to 5 p.m. --- MUST BE Fully Vaccinated against Covid-19 About Aston Carter: Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you. At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless. Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit . Aston Carter is a company within Allegis Group, a global leader in talent solutions. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Keywords: Aston Carter, Plano , DME Reimbursement Advocate In Plano, Other , Plano, Texas

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