Night Shift Schedule:

Description:

• Post insurance company payments and/or responses into the various systems based on client, such as electronic, ERA, or paper explanation of benefits.
  
• Daily checks on the pending amounts due from carriers and act accordingly.
  
• Reviewing the recent codes of partial and full denials, utilizing carrier portals or calling for clarification as well as resubmission and reconsider of given claims with appropriate reasons.
  
• Prepare appeals to be sent by reimbursement representative.
  
• Report to reimbursement team member any item that is not resolved within a timely manner 
  
• Report to reimbursement team member any specific patients with partial and full denials, identify why denied, and find ways to avoid the issue(s) that might be triggering it.
  
• Check with carriers on no-response claims based on predefined dates.
  
• Prepare amounts outstanding and key issues for the reimbursement team member.
  
• Follow up on appeals and claims sent for reconsiderations.
  
• Attend daily meetings with reimbursement team member.
  
• Attend weekly team meetings, completing the to-do’s assigned to reimbursement team member.
  
• Other duties as assigned.
  

Requirements

• Permanent work from home
  
• Immediate hiring
  
• Steady freelance job
  
• Profit sharing incentive
  
• Paid time off
  
• Holiday pay
  
• Annual Performance and Raise Evaluation
  
• Quarterly Perfect Attendance Incentive
  
• HMO
• BruntWork Loan Assistance