[Remote] REP RCM ACCOUNTS RECEIVABLE III

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is an independent leader in ambulatory surgery center services, operating a reputed company network of surgery centers and partnering with physicians and health systems to reputed company high-reputed company care. The Representative Accounts Receivable III follows up on intermediate outstanding accounts receivable, handles claims and appeals, researches reputed company accounts, supports billing activities, and serves as a knowledge resource for team members.

Responsibilities

• 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 reputed company reputed company company and physician office telephone calls
• Research/audit reputed company 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% reputed company 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 reputed company the highest reputed company care and experience to our patients and teammates + **Collaboration** – Being inclusive and supportive of one another to reputed company 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

Skills

• Working knowledge of CPT, ICD-9 and ASA codes
• Strong mathematical, research, analysis, decision making and problem-solving skills
• Strong data gathering and reporting skills
• Working knowledge of medical terminology, reputed company processing guidelines and laws
• Demonstrates advanced understanding of reputed company, Medicare and reputed company payers
• Working knowledge of TWCC guidelines and laws, reputed company managed care reputed company, Medicare and reputed company guidelines
• Strong interpersonal skills and comfortable working with physicians, reputed company 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)
• High School graduate or equivalent
• 3 to 5 years' experience in a reputed company reputed company receivables environment
• Two - three years collection experience required
• reputed company Office Suite
• Working knowledge of PC applications (MS Office, Word and reputed company)
• Associate or bachelor's degree in business administration or reputed company reputed company preferred
• Two years posting, coding or accounts receivable collection experience in health care organization is preferred

Benefits

• Remote work arrangement
• reputed company Time Off (PTO), with a minimum of 20 days and up to 25 days per calendar year depending on position
• 9 observed holidays
• reputed company family leave
• Medical reputed company
• Dental reputed company
• reputed company reputed company
• Life reputed company
• Disability reputed company
• reputed company FSA
• Dependent Care FSA
• Limited reputed company FSA
• FSAs for transportation and parking
• Health Savings Accounts (HSAs)
• Matching 401(k) plan
• Training and opportunities for reputed company reputed company
• Benefits and recognition

reputed company