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Hospital AR Followup Specialist - Remote

Posted 13 weeks ago
Finance / Legal
Full Time
USA

Overview

The Hospital AR Follow-Up Specialist is responsible for the accounts receivables aspects of the client-focused revenue cycle operations and must display in-depth knowledge and execute all standards operating procedures (SOPs) as well as communicate issues, trends, concerns, and suggestions to leadership. Have a clear understanding of the whole accounting /claim life cycle of a hospital claim.

In Short

  • Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment.
  • Analyze trend data, recommending solutions to improve first-pass denial rates.
  • In-depth working knowledge of Microsoft Office and Google Tools.
  • Able to read and understand an EOB and denials at a claim level.
  • Understand payer contracts/fee schedules.
  • Knowledge of online provider portals and communicating via phone with insurance.
  • Escalate difficult collection situations to management.
  • Understanding of write-offs and/or contractual adjustments.
  • Meet daily/weekly and monthly targets.
  • Good knowledge of Medicare, Medicaid & commercial payers.

Requirements

  • 3+ years of Hospital AR Denials and Medical Billing Experience.
  • Excel and technology knowledge.
  • Knowledge of Medicare, Medicaid & commercial payers, and their denial codes.
  • EMR EPIC experience is a must.
  • Ability to enter data quickly and accurately.
  • Knowledge of Medical Terminology, CPT Codes, HCPCS, Revenue Codes, Modifiers and Diagnosis Codes.
  • Ability to work independently and prioritize workflow.
  • Strong time management and organizational skills.
  • Strong verbal and written communication skills.

Benefits

  • 401(k) matching up to 4%.
  • Health, Dental, and Vision insurance.
  • Long/Short Term Disability insurance.
  • Life insurance $25,000 Paid by employer.
  • PTO 2 weeks first year and increases 2nd year.
  • 10 and half Holidays.
Jorie AI logo

Jorie AI

Jorie AI is a pivotal player in the healthcare industry, specializing in advanced technology solutions that enhance the healthcare billing ecosystem. With a focus on AI-infused Robotic Process Automation, Jorie AI provides comprehensive Revenue Cycle Management and practice management services. The company is dedicated to driving transformation in healthcare through applied intelligence, better insights, and accelerated efficiencies. Jorie AI fosters a remote and flexible work environment, promoting growth opportunities and cultural diversity while ensuring a collaborative and friendly company culture.

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