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“We are Hiring!”

Medical Recovery Specialist: CHC Certified

ClaimReturn, Inc is seeking to add to its Revenue Recovery Team. We are seeking Medical Accounts Receivable Recovery Specialists. This position is remote “work from your home.” These modified and flex full time positions are available for the ideal candidate. This position is base hourly wage “PLUS” commission.

ClaimReturn provides the equipment, technology, training and ability for your success.

Under direct supervision of the Recovery Manager, this part time position manages outstanding AR and performs collections management and retrieval, adjusting, and processing tasks in accordance with office policy and procedure. Candidate must be highly organized, patient, and proactive. Must be able to work well independently and with others in our inviting and energetic workplace.

QUALIFICATIONS:

  • 2-years experience in medical billing/medical collections
  • Excellent Phone Etiquette and verbal communication
  • Experience with claims follow-up and electronic filing
  • Strong communications, negotiations and “people” skills are required
  • Experience navigating any EMR and/or billing software
  • Working knowledge of collection routines
  • Ability to read and interpret payer contracts and explanation of benefits

CPC: Certified Professional Coder

A certified professional coder (CPC) is responsible for overseeing the medical coding for healthcare agencies. Coders make sure that medical coding used is in compliance with all medical coding laws and regulations and ensure that the coding used is for reimbursable expenses when necessary.

  • Protect the security of medical records to ensure that confidentiality is maintained.
  • Determine pricing integrity exists while you compile, abstract and affect patient medical records to document that proper condition and treatment was rendered.
  • Review records for completeness, accuracy and compliance with regulations.
  • Comply with all legal requirements regarding coding procedures and practices.
  • Conduct audits and coding reviews to ensure all documentation is accurate and precise.
  • Review assigned and sequenced codes for services rendered.
  • Collaborate with billing department to ensure all bills are satisfied in a timely manner.
  • Communicate with insurance companies about coding errors and disputes.
  • Submit statistical data for analysis and research by other departments.
  • Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures.
  • A thorough understanding of third party and governmental payers and billing.
  • Experience with medical coding edits from third party payers and CMS coding guidelines.

NOTE: Positions are virtual while working out of a secured home office. ClaimReturn, Inc. is AICPA SOC2 Certified, HIPAA compliant and AZURE Secured.

ClaimReturn, Inc. strictly adheres to EEO Affirmative Action compliance comply with federal, state and local authorities. This affords ClaimReturn the ability to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, ClaimReturn will provide reasonable accommodations for qualified individuals with disabilities.

It is our culture to provide “an approved to fail workplace.” We believe that the spirit of success is achieved through the fostering of a positive and attentive work environment driven by accountability and innovation.
  • We are a Client First Company.
  • We value every individual whether it is an employee, or his/her family.
  • We encourage a supportive team environment.
  • We appreciate and celebrate diversity in the workplace.
  • We believe in evaluating by quality first, not quantity.

 

During your discussions with our leadership, ask Why not? Why are you not working along with our world-class team? Kevin Tomkiel, President