1 operations assistant jobs found in Kankakee

Overview: The Certified Accounts Receivable Specialist is responsible for pursuing reimbursement of services rendered and achieving accounts receivable resolution. This role involves resolving insurance carrier denials, appealing claims, contacting carriers regarding open accounts, and responding to insurance carrier correspondence and inquiries while demonstrating flexibility with assignments within professional scope/duties/licensure. The specialist will work with various payers, including Medicare, Medicaid, and commercial insurers, ensuring compliance with all relevant regulations. Essential Duties Claims Management & Resolution: Consistently meet or exceed productivity and quality standards for claim edits, complaint claim submissions, and clinical documentation requirements. Ensure timely filing of claims, resulting in clean, complete, and accurate submissions. Perform timely follow-up on denials and appeals, including root cause analysis to reduce/prevent...