15h ago
Healthcare Payor Change/ Reverification Representative
US
$43k-$56.2k / year
full-timejunior Remotehealthcare
π Tech Stack
πΌ About This Role
You'll perform daily audits of admission and discharge documentation to ensure accurate revenue recognition and compliance with payer requirements. You'll work closely with site leadership and AR teams to prevent revenue leakage and resolve billing issues.
π― What You'll Do
- Perform daily audits of admission and discharge documentation for revenue recognition.
- Monitor Medicare and non-Medicare reverification cycles for billing accuracy.
- Verify patient insurance eligibility and payer coverage details.
- Identify and resolve billing issues such as batch errors and missing documentation.
π Requirements
- 1+ years of experience in healthcare revenue cycle functions.
- Strong understanding of insurance verification and payer guidelines.
- Proficiency with Microsoft Office tools including Word and Excel.
- Ability to interpret payer requirements like pre-certification and authorization.
β¨ Nice to Have
- Associate degree or additional experience in payer alignment.
- Experience in reverification processes.
π Benefits & Perks
- ποΈ Remote work with employer-provided equipment.
- π° Annual salary $43,000 β $56,200.
- π₯ Medical, dental, and vision insurance.
- π 401(k) retirement savings plan.
- π Internet reimbursement for eligible employees.
π¨ Hiring Process
Estimated timeline: 2-3 weeks Β· AI estimate
- 1Recruiter CallΒ· 30 min
- 2Technical InterviewΒ· 45 min
- 3OfferΒ· 1 week
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