Account Resolution Specialist II - Hospital
We are hiring in the following States:
AZ, CA, CO, CT, FL, GA, HI, MA, ME, MN, MO, NV, OK, PA, SD, TN, TX, WA
This is a remote position. Candidates who meet the minimum qualifications will be required to complete a video prescreen to move forward in the hiring process.
Hourly Rate: $18.50 - $21.00
Benefits: PTO, 401K, medical, dental, vision, life insurance, paid holidays, and more
Please note that we are looking for people who have hospital, follow-up, and appeals experience.
Job Overview
Skilled revenue cycle collector. Oversee and work account receivables to ensure client compliance. Provide great customer experience while working to collect and negotiate terms of payment on outstanding account balances. Work in a professional, customer-centered way; taking inbound calls and making outbound calls.
Job Duties and Responsibilities
- Submit medical claims in accordance with federal, state, and payer mandated guidelines.
- Research, analyze, and review claim errors and rejections and make applicable corrections.
- Ensure proper claim submission and payment through review and correction of claim edits, errors, and denials.
- Maintain required knowledge of payer updates and process modifications to ensure accurate claims.
- Investigate, follow up with payers, and collect the insurance accounts receivables assigned.
- Determine reason for non-payment and take appropriate action.
- Escalate stalled claims to manager.
- Verify and modify according to ensure that client account sits at correct liability and balance with payer.
- Identify any payer specific issues and communicate to team and manager.
Qualifications
- High school diploma or equivalent
- One year experience working at Currance as an ARS I, or 1+ years of experience working with facilities to secure insurance payments.
- One year experience with hospital and/or physician claim follow up and appeals with health insurance companies.
- Experience with Epic preferred.
- Proficiency with computer including Microsoft Office Suite/Teams and GoToMeeting/Zoom, etc.
Knowledge, Skills, and Abilities
- Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes
- Knowledge of rules and regulations relative to Healthcare Revenue Cycle administration
- Skilled in medical accounts investigation.
- Ability to validate payments.
- Ability to make decisions and take action.
- Ability to learn and use collaboration tools and messaging systems, and then apply.
- Ability to maintain a positive outlook, a pleasant demeanor, a mature nature during all interactions, and act in the best interest of the organization and the client.
- Takes professional responsibility for quality and timeliness of work product.
- Achieves results with little oversight.
