Pre-Bill Denial Resolution Specialist

hace 5 días


San Francisco, Heredia, Costa Rica Auxis A tiempo completo

Auxis is seeking a highly skilled Pre-Bill Denial Resolution Specialist to join our team. This role will be responsible for reviewing post-discharge, prebill accounts without authorization and resolving discrepancies prior to billing.

About the Role

As a Pre-Bill Denial Resolution Specialist, you will play a crucial part in ensuring that accounts are accurately processed and paid by payors. Your attention to detail and ability to communicate effectively with third-party payors will be essential in resolving discrepancies and preventing account denials.

Duties and Responsibilities
  • Efficiently review and resolve prebill accounts without authorization to prevent account denials by payor.
  • Communicate with third-party payors to resolve discrepancies and ensure accurate payment processing.
  • Accurately document all communications and actions taken on each account.
  • Work collaboratively with facilities, physicians' offices, and insurance companies to resolve denials and appeals.
  • Adhere to time and attendance policies while working independently and as part of a team.
Requirements

To succeed in this role, you will need:

  • English - Spanish Language proficiency (85% or higher)
  • High school diploma or equivalent, with at least one year of experience in customer service roles.
  • Excellent communication and problem-solving skills.
  • Ability to work independently and collaboratively as a team player.

Auxis offers a competitive salary for this position, estimated to be around $45,000 - $60,000 per year, depending on location and experience. We also provide opportunities for ongoing education and training to help you grow in your career.



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