Shire Jobs

MUST BE LOCATED IN NC, SC, OR GA

Description:

Work through the large volume of Variances broken into 3 categories (Registration issues, Qualified work queue, and Contract load issues)

Completes claims and documents billing activity

Reviews trends specific to denials, root cause, and A/R impact.

Reviews insurance credit balances to determine cause, takes necessary action to resolve account.

Contacts payer on account status.

Processes and researches electronic remittances and bank deposits.

Works with Specialty Payers and other facilities to ensure compliance and payment.

Transfers charges between Patient and Facility accounts as required.

Escalates problem accounts as needed and leads appeal process.

Receives, review and takes actions for all communications within the business office

Skills:

Medical billing, insurance follow up, insurance claim, denied claims, appeals, Epic

Additional Skills & Qualifications:

Must have 2+ years of insurance follow up experience

must have experience working variance and underpayments

Must have Hospital Billing experience

must have experience with CPT codes and knowledge of various payers

hospital experience preferred

EPC is a plus

Experience Level:

Intermediate Level

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

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.