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Posted: Tuesday, May 2, 2017 2:46 PM

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HFRI partners with healthcare organizations to increase cash collections, decrease unpaid claims, and reduce denials. HFRI is a proven leader in Account Receivables Recovery, helping our healthcare clients improve AP performance and increase productivity while delivering an excellent costumer experience and lowering net costs to collect.

Job Description:

The Claims Representative is responsible for accurately identifying insurance claims denials and/or claims processing errors in order to resolve aged accounts receivables.

ROLE AND RESPONSIBILITIES:

• Timely management of a work queue consisting of approximately 600 accounts
• Analysis of account notes, UB04s, CMS-1500s, EOBs, contracts
• Follow up with insurance carrier via phone/fax and/or website
• Follow up with physician and/or patient for additional documentation
• Submission of additional documentation to challenge claim decision.

QUALIFICATIONS AND EDUCATION REQUIREMENTS:

• High School Diploma or equivalent
• 3 - 5 years relevant industry experience in resolution of aged healthcare receivables.

PREFERRED SKILLS:

• Working knowledge of revenue cycle process
• Proficient in disputing insurance carrier claim decisions
• Fluent in interpretation of contract language
• Successful history of resolving insurance denials on account balances up to $25,000
• Experience working with HMO, PPO, Medicare, Medicaid, Workers Compensation, Personal Injury carriers
• Basic computer skills (Microsoft Office)
• Organizational skills
• Persistence, curiosity and the ability to conduct detailed research
• Excellent written and verbal communication skills
• Strong math aptitude
• Able to prioritize and manage a myriad of tasks at once
• Team- oriented, but able to work independently.

ADDITIONAL NOTES:

• This position requires the employee to handle Protected Health Information (PHI). Policies and Procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule.

Benefits:

HFRI recognize that talented people are attracted to companies that provide comprehensive benefits packages and outstanding advancement opportunities. For this reason we offer a Comprehensive Benefits Plan that includes the following:

• 401K and Company match
• Medical coverage
• Dental coverage
• Paid time-off (10 Vacation days and 5 Personal days per year plus Holidays)
• Vision care coverage
• Employee life insurance
• Disability insurance
• Accidental death & dismemberment insurance.

As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law.


Apply at link: https://recruiting.adp.com/srccar/public/RTI.home?c=2150113&d=ExternalCareerSite&r=5000205635306#/&rb=BACKPAGE

• Location: Elgin, IL, Rockford

• Post ID: 61376908 illinois
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