Accounts Receivable Specialist
Renal Ventures Management, LLC - Lakewood, CO

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As an Accounts Receivable Specialist, you will work under the general supervision of the Accounts Receivable Manager and be involved in performing many different functions in the areas of insurance verification, claims submissions, posting payments and extensive follow up on all outstanding claims.

Responsibilities:
Insurance Verification

Review patient documentation from centers

Verifies insurance eligibility and coordinates benefits

Initiates and maintains the prior authorization and/or referral process when applicable

Creates, maintains and updates patient files and claims both electronic and hard copy

Claims Submissions and Payments

Prepares, generates and submits primary insurance claims at month end

Enters and follow-ups on all Medicare claims through electronic claims submission

Posts payments

Prepares, generates and submits secondary insurance claims

Generates and mail patient statements monthly

Collections

Extensive follow-up to resolve outstanding claims issues in excess of 45 days

Qualifications:
The ideal candidate will possess a High School Diploma/GED with at least 2 years of billing experience, preferably most of that experience in the medical insurance industry.

The ideal candidate will have dialysis experience.

Medicare DDE is a plus.

Looking for someone with a consistent work history, strong communication and computer skills and the ability to learn and work efficiently.

Renal Ventures is an Equal Opportunity Employer.

Required Skills

Required Experience

Renal Ventures Management, LLC - 19 months ago - save job - block
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About this company
12 reviews
Renal Ventures Management, LLC is a quality provider of outpatient dialysis care. In addition to medical expertise, employees at Renal...