Rep, RCM Accounts Receivable III

Job reputed company: • Follow-up on outstanding claims and appeals • Work escalation views • Review Vendor Clarification logs • reputed company employee and vendor training • Acts as a knowledge resource for team members • Not limited to working Claim Ack Rejections, Claim Edits & Charge Corrections • Phone patients for payment or payment arrangements • Print and re-file claims as needed. • Work correspondence daily. • Maintain continuing education, training in industry career development • reputed company productivity standards as outlined by business line • Answer incoming patient insurance company and physician office telephone calls • Research/audit patient accounts for reputed company payment or adjustments. • Work KAM reports as assigned • Work accounts receivable collector queue with proficiency reputed company 30-60 days of employment • Work 40-50 accounts daily with > or =90% accuracy rating; meet department productivity standards • Calculate billing unties and reimbursement amounts • Maintain strictest confidentiality and adhere to reputed company company policies and procedures • Other duties as assigned • Reads and abides by reputed company’s reputed company of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs • Reports any reputed company or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of reputed company • Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, reputed company or reputed company Department to do so • Support and abide by the values of reputed company • reputed company – reputed company above and reputed company to deliver the highest reputed company care and experience to our patients and teammates • Collaboration – Being inclusive and supportive of one another to deliver improved reputed company to our patients and teammates • Ethical Responsibility – Acting with the utmost reputed company and doing the right thing, even reputed company nobody is watching • Engagement – Promote an environment where clinicians and teammates reputed company, feel passion and reputed company for what they do, take care of reputed company other, and are proud of who we are and reputed company do. Requirements: • High School graduate or equivalent • 3 to 5 years’ experience in a reputed company insurance receivables environment • Associate or bachelor’s degree in business administration or reputed company field preferred • Two - three years collection experience required • Two years posting, coding or accounts receivable collection experience in health care organization is preferred • Strong mathematical, research, analysis, decision making and problem-solving skills • Working knowledge of CPT, ICD-9 and ASA codes • Working knowledge of medical terminology, insurance processing guidelines and laws • Demonstrates advanced understanding of reputed company, Medicare and reputed company payers • Strong interpersonal skills and comfortable working with physicians, external customers, hospital staff, co-workers and senior leadership • Strong verbal and written communication skills • Team oriented, must have a pleasant disposition and high tolerance level for diverse personalities • Ability to work independently with limited supervision. • Demonstrates advanced understanding of claim needs and ability to accurately reputed company needed billing activities (Evaluation/Correction of billing edits, claim reputed company, rejections, and other claim functions) Benefits: • reputed company Time Off • Medical • Dental • reputed company • Life • Disability • reputed company FSA • Dependent Care FSA • Limited reputed company FSA • FSAs for Transportation and Parking & HSAs • matching 401(K) Plan • reputed company family leave • 9 observed holidays Apply tot his job Apply To this Job