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Out of Network Revenue Cycle Agent

TemPositions Group Of Companies
Garden, NY Full Time
POSTED ON 2/2/2025
AVAILABLE BEFORE 5/2/2025

Description : Job descriptionJob OverviewWe are seeking a detail-oriented and knowledgeable Revenue Agent to join our team. The ideal candidate will possess a strong background in medical terminology and coding, with a focus on ensuring accurate billing and collections processes within the healthcare sector. This role is essential for maintaining the financial health of our organization by effectively managing revenue cycles and ensuring compliance with industry standards.DutiesReview and analyze medical records to ensure accurate coding and billing practices.Utilize ICD-10, ICD-9, and DRG coding systems to assign proper codes for diagnoses and procedures.Review submitted claims for accuracyConduct timely follow-up and research on all unpaid claims with insurance companiesWork on insurance appeals and corrected claims correspondenceUtilize all available portals for claim informationCreate and submit appeals and corrected claims packets, and other disputes, as necessaryAssist with obtaining pre-authorizations when neededRequirementsProficiency in medical terminology, including familiarity with ICD-10, ICD-9, DRG, and other relevant coding systems.Experience in medical billing, collections, or coding within a healthcare setting.Strong analytical skills with attention to detail to ensure accuracy in documentation and coding.Minimum of 5 years medical billing experienceOut-of-network billing experienceExcellent communication and interpersonal skillsMust be computer proficientExcellent communication skills for effective interaction with healthcare professionals, patients, and insurance representatives.Ability to work independently as well as part of a team in a fast-paced environment.Previous experience in a medical office or related field is preferred but not mandatory.If you are passionate about healthcare finance and have the skills necessary to excel as a Revenue Agent, we encourage you to apply for this vital role within our organization.Job Type : Full-timePay : $55,000.00 - $60,000.00 per yearBenefits : Dental insuranceHealth insurancePaid time offVision insurance Schedule : 8 hour shiftMonday to Friday Experience : Medical Billing : 5 years (Required)Out of Network : 3 years (Required) Ability to Commute : New Hyde Park, NY 11040 (Required)Responsibilities : Skills :

Salary : $55,000 - $60,000

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