High School Diploma or equivalent combination of education/work experience. Sitting for extended periods of time will be required. Use of hands repetitively to type, handle, and operate standard office equipment will be required. Three years of experience in a healthcare revenue cycle, specific to area of Expertise. Xifin Billing System Experience. Knowledge of claims processing and adjustments. Knowledge of Medicare, Medicaid, and Commercial carriers. Excellent communication and organizational skills. Ability to calculate insurance benefits and write appeal letters (using templates). Ability to read and understand Explanation of Benefits. Insurance verification and basic benefit coordination. Knowledge of Medicaid or Medicare Claim Processing regulations. Proficient on Microsoft Word, Excel, Outlook, Internet Explorer. Ability to work in a collaborative, team environment. Ability to work independently and be result driven oriented. Ability to be well organized, detail-oriented, in a fast-paced environment. Ability to think critically and identify the global impact across the revenue cycle with a solution-oriented approach. Maintain confidentiality of sensitive PHI information.
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