Sr. Patient Resources Representative Job at TEKsystems, Denver, CO

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  • TEKsystems
  • Denver, CO

Job Description

Job Description

Job Description

Description

  • Work with insurance payers to research and take appropriate actions to resolve claim denials, rejections, and underpayments on behalf of our patients’ accounts;
  • Research and resolution include but are not limited to phone and email exchanges with insurance payer or our clinics, submit appeals, in addition to the utilization of payer web portals and navigating between several internal applications
  • Intake and make outbound calls with insurance carriers regarding patient claims
  • Uses critical thinking, problem-solving and analytical skills to determine the root cause and/or trends of our non-paid claims or underpayments from insurance payers and follow appropriate policy and procedure to remediate
  • Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
  • Develop and maintain positive working relationships with clinical personnel, fellow teammates, and insurance representatives
  • Works well under pressure in a fast-paced environment and meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude
  • Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
  • Comfortability talking on the phone is a must!

Qualifications

  • Highschool Diploma or equivalent required
  • Healthcare and medical billing/collections/denial remediation experience required
  • Intermediate computer proficiency in Microsoft Office tools including Excel, PowerPoint and Outlook

SPANISH BILINGUAL HIGHLY PREFERRED

Pay and Benefits

The pay range for this position is $19.00 - $19.00

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position will be accepting applications until Jan 30, 2025.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Job Tags

Temporary work, Remote job,

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