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Job Requirements of Payor Dispute Senior:
Job Requirements:• High school diploma or equivalent; some college preferred.
• Experience in physician healthcare reimbursement.
• A strong understanding of revenue cycle management a plus
• Proficiency in Microsoft Office required with expertise in Excel spread sheets, using formulas, pivot tables and filters is required
• Strong organizational, analytical, and problem-solving skills bringing unusual circumstances to the attention of a manager.
• Must be a high energy, self-starter who is creative and outgoing.
• Will be expected to possess or quickly acquire knowledge and understanding of the following: Medical professional billing guidelines and compliance CPT, HCPCS, ICD-10 Reimbursement Payer edits RVUs Accounts Receivable
• Ability to work with confidential information, demonstrate HIPAA Compliance.
• Ability to work independently and work well in a fast-paced, deadline-driven environment.
• Strong communication skills.
• Ability to work well with others including superiors and peers.
• Attitude and appearance that conveys professionalism, confidence, maturity, and competence.
• Honest and ethical business conduct.
SUPERVISORY RESPONSIBILITIES:
• None
Do you meet the requirements for this job?
Payor Dispute Senior
TeamHealth
Knoxville, TN (Remote)
Full-Time
JOB DESCRIPTION OVERVIEW:
This position is for a talented, knowledgeable, and skilled individual to work collaboratively with our team on payer audits and appeals as well as the appeals and arbitration of disputed payment amounts. This is a unique opportunity to be included in the development and expansion of the Independent Dispute Resolution (IDR)/Arbitration Department. The Payor Dispute Senior will oversee tasks delegated by IDR Management. This position requires organization, flexibility, and the ability to prioritize tasks while working independently. The Payor Dispute Senior will participate in a wide variety of tasks and will be an instrumental member of the team requiring a positive and motivated disposition.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Assist with processing incoming invoices from vendors; code and submit for approval in a timely manner. Follow up on invoices as required.
• Possess the ability to make appropriate decisions regarding complicated issues for tasks assigned
• Interact collaboratively with various team members to support activities and workflows
• Demonstrate knowledge of the Federal IDR Arbitration process
• Assign and monitor Open Negotiation batches
• Assign and monitor Arbitration batches
• Possess a thorough understanding of physician billing policies, procedures, and processes as needed
• Assist with training of new employees
• Ability to assist team with questions regarding processes and workflow
• Ability to meet deadlines in a timely manner
• Complete special projects and other duties as assigned
This position is for a talented, knowledgeable, and skilled individual to work collaboratively with our team on payer audits and appeals as well as the appeals and arbitration of disputed payment amounts. This is a unique opportunity to be included in the development and expansion of the Independent Dispute Resolution (IDR)/Arbitration Department. The Payor Dispute Senior will oversee tasks delegated by IDR Management. This position requires organization, flexibility, and the ability to prioritize tasks while working independently. The Payor Dispute Senior will participate in a wide variety of tasks and will be an instrumental member of the team requiring a positive and motivated disposition.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Assist with processing incoming invoices from vendors; code and submit for approval in a timely manner. Follow up on invoices as required.
• Possess the ability to make appropriate decisions regarding complicated issues for tasks assigned
• Interact collaboratively with various team members to support activities and workflows
• Demonstrate knowledge of the Federal IDR Arbitration process
• Assign and monitor Open Negotiation batches
• Assign and monitor Arbitration batches
• Possess a thorough understanding of physician billing policies, procedures, and processes as needed
• Assist with training of new employees
• Ability to assist team with questions regarding processes and workflow
• Ability to meet deadlines in a timely manner
• Complete special projects and other duties as assigned
Job Requirements:
Job Requirements:
• High school diploma or equivalent; some college preferred.
• Experience in physician healthcare reimbursement.
• A strong understanding of revenue cycle management a plus
• Proficiency in Microsoft Office required with expertise in Excel spread sheets, using formulas, pivot tables and filters is required
• Strong organizational, analytical, and problem-solving skills bringing unusual circumstances to the attention of a manager.
• Must be a high energy, self-starter who is creative and outgoing.
• Will be expected to possess or quickly acquire knowledge and understanding of the following: Medical professional billing guidelines and compliance CPT, HCPCS, ICD-10 Reimbursement Payer edits RVUs Accounts Receivable
• Ability to work with confidential information, demonstrate HIPAA Compliance.
• Ability to work independently and work well in a fast-paced, deadline-driven environment.
• Strong communication skills.
• Ability to work well with others including superiors and peers.
• Attitude and appearance that conveys professionalism, confidence, maturity, and competence.
• Honest and ethical business conduct.
SUPERVISORY RESPONSIBILITIES:
• None
• High school diploma or equivalent; some college preferred.
• Experience in physician healthcare reimbursement.
• A strong understanding of revenue cycle management a plus
• Proficiency in Microsoft Office required with expertise in Excel spread sheets, using formulas, pivot tables and filters is required
• Strong organizational, analytical, and problem-solving skills bringing unusual circumstances to the attention of a manager.
• Must be a high energy, self-starter who is creative and outgoing.
• Will be expected to possess or quickly acquire knowledge and understanding of the following: Medical professional billing guidelines and compliance CPT, HCPCS, ICD-10 Reimbursement Payer edits RVUs Accounts Receivable
• Ability to work with confidential information, demonstrate HIPAA Compliance.
• Ability to work independently and work well in a fast-paced, deadline-driven environment.
• Strong communication skills.
• Ability to work well with others including superiors and peers.
• Attitude and appearance that conveys professionalism, confidence, maturity, and competence.
• Honest and ethical business conduct.
SUPERVISORY RESPONSIBILITIES:
• None
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