Job Description
Overview We are looking specifically for an Out-of-Network Negotiator who eats, sleeps, and breathes the No Surprises Act for Surgery specialty. The Role: You will be a point person for all out-of-network revenue. Your day-to-day will involve high-level negotiations with insurance companies, managing the "No Surprises" negotiation process, and winning appeals through meticulous clinical reviews. What You Must Bring: • Negotiation Grit: You know how to talk to payers and get claims paid at higher than "median" rates. • NSA Expertise: You understand how to handle out-of-network claims without triggering balance-billing violations. • Detail Mastery: You can review complex medical records and terminology to find the "hook" for a successful appeal. • Team Mindset: You are an independent contractor who loves working with a remote team of other experts. Technical Skills: Professional experience with OON appeals, negotiation portals, and high-level medical revenue cycle management. Duties • Process and record incoming denials to review and appeal. • Manage accounts receivable aging reports to negotiate appeals for no surprise billing with insurance company for review. • Review patient accounts for discrepancies and resolve issues as needed. • Collaborate with the medical billing team to ensure proper coding of services using DRG, CPT, ICD-9, and ICD-10 coding systems. Requirements • Proven experience in medical billing, collections, or a similar role within a medical office setting. • Strong knowledge of medical terminology and coding practices (DRG, CPT, ICD-9, ICD-10). • Familiarity with EMR and EHR systems is highly desirable. • Excellent attention to detail with strong organizational skills. • Ability to work independently while managing multiple tasks effectively. • Strong communication skills for interacting with patients and team members. • Availability to work a day shift, Monday through Friday. Compensation & Hiring Process: • Pay: Starting from $15.00 per hour. • Job Type: Part-time, Independent contractor. • Trial Period: A two-week paid trial period will be conducted to assess knowledge and skills. Job Types: Part-time, Contract Pay: From $15.00 per hour Benefits: • Flexible schedule Work Location: Remote Apply tot his job