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Healthcare Accounts Receivable Consultant (REMOTE)
Job Places – Distant
Job ID 2023-14539
Class Income Cycle Administration
Min USD $16.35/Hr.
Max USD $20.00/Hr.
The Accounts Receivable Consultant is answerable for observe up of excellent A/R and backbone of denials for numerous payers. As such, the tasks embrace efficient analysis and backbone of AR work queues and dealing with of all insurance coverage associated correspondence or affected person accounts is required to maximise reimbursements.
On this position, you’ll:
• Make sure the coordination of bill actions resulting in well timed reimbursement of receivables utilizing accessible sources together with databases, web, and phone.
• Analysis and resolve denials acquired that haven’t handed payer edits and should result in a closing attraction of denied companies. Requires data of a wide range of system purposes each inside and exterior. Determines and initiates motion to resolve rejected invoices, prepares payer corrections, and/or appeals utilizing digital and paper processes.
• Present steering, help, training, and communications with inside and exterior clients associated to insurance coverage and authorities payers claims processing protocols.
• Make the most of numerous sources to find out affected person’s eligibility, advantages, and well being plan affirmation. Together with on-line payer databases, CareCentrix Eligibility platforms, and medical data that will end in supplier or payer recoup/rejection exercise.
• Oversee accounts receivable changes to resolve overpayments and cost rejections in accordance with normal working procedures. Analyze and clears cost variances. Might put together adjusted and corrected claims/invoices or regulate accounts receivable entries in accordance with current working procedures. Might embrace using particular reporting.
• Consider, analyze and monitor the processing of invoices and on-line notes, using a Home windows based mostly information processing system. Displays payer responses, utilizing Microsoft Excel, Microsoft Entry and different software program as vital to make sure immediate cost.
• Contact suppliers and/or sufferers to retrieve acceptable medical documentation to substantiate companies supplied and have interaction them in helping CareCentrix in accumulating for the payer.
• Present payers with detailed itemization of companies carried out to make sure well timed reimbursement. Overview EOPs/EOMBs/EOBs for accuracy of affected person duty.
• Present enter on accounts receivable course of enhancements and helping of their implementation.
• Take part in teleconferences masking a variety of subjects that allows the Income Cycle Administration division to successfully gather account receivables.
• Works with inside clients to establish points which can end in up to date processes/workflows and new enhancements or platforms as vital.
• Keep departmental high quality requirements to maximise CareCentrix well being plan collections and account decision. Participates in particular tasks and performs different duties as assigned.
You must attain out in case you have:
Excessive College Diploma or equal; plus minimal of 1 years of expertise in Income Cycle Administration Operations, ideally within the medical, insurance coverage or healthcare discipline typically required.
Information of healthcare assortment procedures and associated inside and exterior software program purposes are required.
Efficient analytical, verbal and written communication expertise are required in addition to data of HIPAA, HCPCS, CPT, ICD-9 & ICD-10 coding.
Fundamental competency of Microsoft workplace purposes and mathematical calculations is required.
Should be properly organized and possess wonderful time administration expertise.
What we provide:
Wage Vary: $16.35 – $20.00 / hour plus bonus incentive.
Full vary of advantages together with Well being, Dental and Imaginative and prescient with HSA Employer Contributions and Dependent Care FSA Employer Match.
Beneficiant PTO, 401K Financial savings Plan, Paid Parental Go away, free on-demand Digital Health Coaching and extra.
Development alternatives, skilled expertise coaching, and tuition Reimbursement
Nice tradition with a way of group.
CareCentrix maintains a drug-free office.
We’re an equal alternative employer. Employment choice and associated choices are made with out regard to age, race, colour, nationwide origin, faith, intercourse, incapacity, sexual orientation, gender identification, or being a professional disabled veteran or certified veteran of the Vietnam period or another class protected by Federal or State regulation.
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