AR/Denials Management - RCM

About This Position

We're looking for Athena Specialist who has worked on Athena Tool in AR follow up.

• Work directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid
• Verifying correct insurance filing information on behalf of the client and patient
• Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Follow up on unpaid claims within the standard billing cycle time frame
• Research and appeal denied claims
• Meet individual and departmental standards with regard to quality and productivity
• Ability to handle protected health information in a manner consistent with the Health Insurance Portability and Accountability (HIPAA)
• Check eligibility and benefit verification
• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid