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.
ESSENTIAL WORK SKILLS/KNOWLEDGE & ABILITIES
- Ability to appeal denied and deficient claims
- Ability to spell, have good grammar, and can write an appeal letter
- Ability to read & understand an EOB
- Participates in educational activities and reports needed information to Collections Manager
- Contact and follow up with insurance carriers on denials, file reconsideration requests, formal appeals and negotiations
- 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:
- Aggressive follow up in collecting from insurance companies
- Skill in fast data entry and accuracy
- High level of discretional, interpersonal skills
- Tactfulness in dealing with patients, co-workers and other professional offices
- Knowledge of medical terminology
- Interact with external/internal customers as necessary to resolve problems and expedite payments
- Obtain status of outstanding claims
- Problem Solving/Troubleshooting
- Follow-up on outstanding AR balances assigned by supervisor or manager
- Ensure timely and accurate processing of re-bills to the appropriate insurance companies
- Provide detailed information regarding problem payors to management
- Submit appeals based on denials from payor
- Provide suggestions for solutions to management
Qualifications
- Minimum of 2 year Medical Collections Experience
- Minimum High School Diploma required
- Knowledge of CPT, and/or ICD-10
- Knowledge of legal and regulatory government provisions
- Knowledge of laws that regulates communication and privacy act. HIPPA laws and understanding of the application.
