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Revenue Qualification Specialist - Valdosta, Georgia at Barnes Healthcare Services

Posted in Finance 30+ days ago.

Type: Full-Time
Location: Valdosta, Georgia





Job Description:

Are you well versed in the medical claim revenue cycle? Do you love the research and persistence it takes to get insurance verifications? Tracking your progress? Meeting goals?

The REVENUE QUALIFICATION SPECIALIST might be the job for you.

The Revenue Qualification Specialist must be able to:


  • Verify insurance through various mechanisms and verifying and receiving documents.

  • Complete authorization requests with various payers for services provided to Barnes Healthcare patients.

  • Prepare Certificate of Medical Necessity (CMN) and tracking results.

  • Compliance downloads Medicare, Medicaid, and commercial insurances.

  • Contact patients as necessary for information.

  • Set and exceed department goals.

  • Prepare reports via computer software.

  • Maintain proper confidentiality at all times.   

QUALIFICATIONS


  • High School diploma or equivalent

  • At least 1 year of working knowledge of Health Insurance Coverage preferred

  • Prior experience in HME and /or Home Infusion desired

  • Excellent customer relation skills with above-average written and verbal communication skills

  • Ability to multi-task and work in a fast-paced environment

Benefits:

Health Insurance, Dental Insurance, Vision Insurance, TeleDoc services, 401K Retirement with Match, Short Term Disability, Long Term Disability, Life Insurance, Employee Assistance Program, Fifteen Days of Vacation yearly (accruing upon your start date), 2 floating holidays, Six paid Company Holidays, Forty hours of paid Community Service yearly, Annual Organizational Performance bonus, Four Company Events per year (Pending COVID Restrictions).

Barnes is an Equal Opportunity Employer





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