Industry:Diagnostics
Location: Onsite / Hybrid (Based on Client Need)
Job Functions
- Investigate, resolve, and collect payment on complex healthcare billing and reimbursement transactions.
- Research and resolve unpaid claims, billing discrepancies, denials, and customer complaints to ensure timely and accurate reimbursement.
- Contact insurance carriers, patients, and other stakeholders to resolve account issues and maximize payment.
- Review insurance and patient account correspondence to identify outstanding issues and determine appropriate corrective actions.
- Analyze billing trends and identify recurring reimbursement issues, recommending process improvements to reduce denials and improve collections.
- Collaborate with leadership and cross-functional teams to develop solutions that improve revenue cycle performance and operational efficiency.
- Review billing documentation to ensure compliance with payer requirements and regulatory guidelines.
- Communicate effectively with insurance companies, patients, and internal leadership regarding account status, payment issues, and resolution strategies.
- Develop and maintain expertise in payer fee schedules, reimbursement methodologies, and denial management.
- Apply advanced knowledge of Medicare, Medicaid, and commercial payer policies to maximize reimbursement opportunities.
- Monitor and work aging reports to resolve outstanding accounts receivable and reduce claim aging.
- Support complex revenue cycle projects and initiatives requiring advanced reimbursement knowledge.
- Assist with special projects and perform additional duties as assigned.
- High School Diploma or GED required.
- Minimum of four (4) years of experience in a complex healthcare billing and reimbursement environment.
- Advanced knowledge of Medicare, Medicaid, and commercial insurance reimbursement processes.
- Experience with insurance accounts receivable, denial management, and claims resolution.
- Experience in Anatomic Pathology or Diagnostic Laboratory billing is preferred.
- Strong understanding of healthcare billing regulations, payer policies, and reimbursement methodologies.
- Demonstrated analytical and problem-solving skills with the ability to resolve complex billing issues independently.
- Strong interpersonal and communication skills with the ability to work effectively with patients, insurance carriers, clients, leadership, and internal stakeholders.
- Ability to identify trends, recommend process improvements, and contribute to operational efficiencies.
- Self-motivated with strong organizational skills and attention to detail.
- Ability to manage multiple priorities and work effectively in a fast-paced, deadline-driven environment.
- Demonstrated professionalism, accountability, and commitment to delivering exceptional customer service.
Estimated Min Rate: $30.00
Estimated Max Rate: $32.69
What’s In It for You?
We welcome you to be a part of the largest and legendary global staffing companies to meet your career aspirations. Yoh’s network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yoh’s extensive talent community that will provide you with access to Yoh’s vast network of opportunities and gain access to this exclusive opportunity available to you. Benefit eligibility is in accordance with applicable laws and client requirements. Benefits include:
- Medical, Prescription, Dental & Vision Benefits (for employees working 20+ hours per week)
- Health Savings Account (HSA) (for employees working 20+ hours per week)
- Life & Disability Insurance (for employees working 20+ hours per week)
- MetLife Voluntary Benefits
- Employee Assistance Program (EAP)
- 401K Retirement Savings Plan
- Direct Deposit & weekly epayroll
- Referral Bonus Programs
- Certification and training opportunities
Note: Any pay ranges displayed are estimations. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Visit https://www.yoh.com/applicants-with-disabilities to contact us if you are an individual with a disability and require accommodation in the application process.
For California applicants, qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All of the material job duties described in this posting are job duties for which a criminal history may have a direct, adverse, and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
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