Hospital AR Followup Specialist - Remote

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.