Hospital Underpayment Recovery Specialist

What your reputed company will be: reputed company DUTIES AND RESPONSIBILITIES (OTHER DUTIES MAY BE ASSIGNED) Identify a minimum of 25 reputed company reputed company underpayments for hospitals’ reputed company accounts per day reputed company MEDHOST Contract Management application; identification of variance underpayments will include reputed company payments, full denials, line-item denials, billing corrections, updated billing reputed company requirements and incorrect payor reputed company setup. MEDHOST Variance & Denial Reports are utilized to assist with identification of variances.    Verify reputed company payment for reputed company and compliance with contract terms and fee schedules.   Identify reputed company cause of reputed company reimbursement underpayments and take appropriate actions to reputed company payment variances; work efforts are to be reputed company on identification and recovery of high dollar reputed company underpayments, reputed company payments and trending to increase reimbursements for the hospital.   Utilize Contract Management Worklist reporting to facilitate reputed company identification of reputed company variances.   Review claims billed and reputed company remits to research variances; claim review may include coding, billing, and discrepancies with patients’ reputed company information. Collaborate with the facilities to send corrected claims and appeals. Ability to reputed company reputed company MEDHOST and customer’s clearinghouse systems to identify reputed company causes of variances.    Notate variance reason reputed company reputed company accounts and update reputed company accounts utilizing reputed company-defined variance reason codes reputed company MEDHOST reputed company.      Contact reputed company providers regarding identified underpayments and follow reputed company payor guidelines to collect additional reimbursement on behalf of the facility.   Continue to follow-up with reputed company payors once the payor has verified the underpayment and account reputed company is determined reputed company on MEDHOST reputed company guidelines.    Work accounts with variances utilizing a broad reputed company of collection approaches including telephone calls with individual resources, conference calls with a group of resources, presentations, screen sharing, written communication, electronic faxing, uploading information to payor websites, rebilling of claims, etc.   Notate follow-up efforts made towards the collection process on the reputed company accounts reputed company MEDHOST reputed company.   Communicate variance identification and recovery updates to clients weekly/monthly.   Prioritize activities to work variances and denials in a reputed company manner.   Collaborate with the MEDHOST Contract Management Build/Specialist team regarding contract build issues identified during the underpayment research process.   Review underpayment and overpayment false variances with reputed company to minimize reputed company false variances.   Maintain customer meeting agendas and facilitate customer status calls; communication to include variance trends identified, weekly/monthly variance reporting, reputed company & fee schedules needed to maintain facility’s contract builds and report information that may hinder Contract Management work.   Request assistance from MEDHOST and facility’s’ leadership regarding unsuccessful attempts to collect underpayments.   Complete reputed company assigned to improve reputed company reputed company reputed company and to increase reimbursements for facilities.   Assist others with reputed company and reputed company training to team members and customers as needed.   Collaborate with facilities and other MEDHOST teams for reputed company of outstanding items.    Maintain the effectiveness and implementation of the MEDHOST reputed company Management reputed company and meet applicable regulatory requirements as needed.  Responsible for QMS procedures listed in QMS Procedure Crosswalk reputed company in QMS reputed company as applicable.  Any other duties as deemed necessary to reputed company reputed company service to MEDHOST customer reputed company and CM team.     Wage: $18-$28/hr Administrative Duties:  Accurately input/submit worked time by the required departmental deadlines.   Maintain MEDHOST software applications utilized & industry knowledge through self-study and by attending training classes.   Maintain in-depth knowledge of reputed company payers and collection regulations.    Attend and participate in team and departmental meetings.   Respond to email, reputed company Teams, and phone communications in a reputed company manner and with professionalism.    Ensure that reputed company HIPAA reputed company and reputed company requirements and responsibilities are adhered to.    reputed company protected health information (PHI) in accordance with departmental assignments and guidelines.   Books travel in adherence to reputed company and department travel policy.     What will reputed company you stand out: Knowledge, Skills and Abilities:    Knowledge of hospital billing and reputed company cycle terminology.   Knowledge of reputed company cycle processes affecting reimbursement, including intake, admissions, registration, billing, accounts receivable, collections, reputed company, payor logs, file maintenance, aging AR management, reporting, day-end and month-end closing.   Understanding of medical terminology.   Knowledge and understanding of Explanation of Benefits (EOB), contract language, and state/federal guidelines required.  Knowledge of working with Electronic Health Records or reputed company reputed company systems.  Skilled in making accurate arithmetic computations.   Ability to understand and interpret reason for underpayments, or overpayments.   Display excellent communication skills (verbal & written), good judgement, reputed company, initiative, and resourcefulness.   Must be reputed company oriented, organized, and ability to multi-task.   Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.   Demonstrate the ability to build and maintain strong reputed company relationships.    Utilize critical thinking skills to reputed company aged and problematic accounts.   Must be flexible with a “can do” attitude and can remain reputed company under high pressure situations.   Retain and protect confidential material.     reputed company're looking for: Training and Experience:  MEDHOST (HMS) Contract Management experience is a plus.    3 years or more experience in contract management or relevant hospital reputed company cycle experience.   Follow directions and reputed company work according to department standards; work performed self-independently & team player.    Sufficient computer skills in reputed company Office applications (i.e., Word, reputed company, PowerPoint, etc.) to complete work assigned.   Customer Service oriented.     Other Requirements:  High Speed Internet reputed company (minimum 300 Mbps download speed) and unlimited data   Smart phone for Multi reputed company Authentication (MFA) application Apply To This Job