Out of Network Revenue Cycle Agent

Company: TemPositions Group Of Companies
Location: Garden City
Posted on: February 4, 2025

Job Description:

Description: Job description

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Job Overview
We are seeking a detail-oriented and knowledgeable Revenue Agent to join our team. The ideal candidate will possess a strong background in medical terminology and coding, with a focus on ensuring accurate billing and collections processes within the healthcare sector. This role is essential for maintaining the financial health of our organization by effectively managing revenue cycles and ensuring compliance with industry standards.

Duties

Review and analyze medical records to ensure accurate coding and billing practices.
Utilize ICD-10, ICD-9, and DRG coding systems to assign proper codes for diagnoses and procedures.
Review submitted claims for accuracy
Conduct timely follow-up and research on all unpaid claims with insurance companies
Work on insurance appeals and corrected claims correspondence
Utilize all available portals for claim information
Create and submit appeals and corrected claims packets, and other disputes, as necessary
Assist with obtaining pre-authorizations when needed

Requirements

Proficiency in medical terminology, including familiarity with ICD-10, ICD-9, DRG, and other relevant coding systems.
Experience in medical billing, collections, or coding within a healthcare setting.
Strong analytical skills with attention to detail to ensure accuracy in documentation and coding.
Minimum of 5 years medical billing experience
Out-of-network billing experience
Excellent communication and interpersonal skills
Must be computer proficient
Excellent communication skills for effective interaction with healthcare professionals, patients, and insurance representatives.
Ability to work independently as well as part of a team in a fast-paced environment.
Previous experience in a medical office or related field is preferred but not mandatory.

If you are passionate about healthcare finance and have the skills necessary to excel as a Revenue Agent, we encourage you to apply for this vital role within our organization.

Job Type: Full-time

Pay: $55,000.00 - $60,000.00 per year

Benefits:



Dental insurance
Health insurance
Paid time off
Vision insurance



Schedule:



8 hour shift
Monday to Friday



Experience:



Medical Billing: 5 years (Required)
Out of Network: 3 years (Required)



Ability to Commute:



New Hyde Park, NY 11040 (Required)



Responsibilities:

Skills:

Keywords: TemPositions Group Of Companies, Hartford , Out of Network Revenue Cycle Agent, Sales , Garden City, Connecticut