Overview:
About MPOWERHealth:
For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers foresight to customers. We simplify what’s complex, and we help them find a better way. Our best-in-class analytics coupled with industry-leading expertise make MPOWERHealth the company our customers can rely on no matter what lies ahead.
Benefits:
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Multiple medical plan options
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Health Savings Account with company contributions
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Dental & vision coverage for you and your dependents
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401k with Company match
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Vacation, sick time & Company paid holidays
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Company wellbeing program with health insurance incentives
Responsibilities:
ESSENTIAL WORK SKILLS/KNOWLEDGE & ABILITIES:
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Ability to appeal denied and deficient claims.
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Ability to spell, have good grammar, and can write an appeal letter.
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Ability to read & understand an EOB
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Participates in educational activities and reports needed information to Collections Manager.
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Contact and follow up with insurance carriers on denials, file reconsideration requests, formal appeals and negotiations
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Ability to organize and manage multiple priorities commitment to company values
Able to perform all essential duties with or without accommodations, including but not limited to:
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Aggressive follow up in collecting from insurance companies
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Skill in fast data entry and accuracy.
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High level of discretional, interpersonal skills.
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Tactfulness in dealing with patients, co-workers and other professional offices.
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Knowledge of medical terminology
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Interact with external/internal customers as necessary to resolve problems and expedite payments
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Obtain status of outstanding claims
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Problem Solving/Troubleshooting
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Follow-up on outstanding AR balances assigned by supervisor or manager
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Ensure timely and accurate processing of re-bills to the appropriate insurance companies
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Provide detailed information regarding problem payors to management
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Submit appeals based on denials from payor
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Provide suggestions for solutions to management
Qualifications:
- Minimum of 2 year Medical Collections Experience
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Minimum High School Diploma required
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Knowledge of CPT, and/or ICD-10
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Knowledge of legal and regulatory government provisions
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Knowledge of laws that regulates communication and privacy act. HIPPA laws and understanding of the application.
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