Remote A/R Follow-Up Specialist - Dme

100% Remote!

Our team assists healthcare providers with the remediation of 3rd party accounts receivable, call center support and a variety of revenue cycle outsource capabilities. The PAR II applies professional administrative knowledge and skill while providing accountable oversight of their assigned work queue; processes procedures and projects in order to deliver superior 3rd party A/R account remediation, productivity, and quality outputs for the assigned client. The primary role is to resolve aged Accounts Receivable assets by following up with 3rd party payers and government agencies on denied, underpaid, or otherwise unresolved accounts (credit balances/variances) and collecting insurance claim balances for the client.

Experience with DME/HME denials management and resolution of aged accounts in a hospital and physician setting is required, hands on experience with Cerner is preferred.

Responsibilities:

• Provide documentation appropriately and submit corrections; or if payer error, escalate for re-processing in a professional and timely manner
• Possesses an understanding of the healthcare revenue cycle and applies this knowledge to assist team with achievement of quality control standards
• Identifies and communicates A/R trends, payer behavior, workflow inconsistencies or other barriers to account resolution to team and engagement leadership
• Assess accounts for balance accuracy, confirm correct payer billed, coding accuracy, denials, and outstanding insurance requests
• Research items requiring further assistance
• Identify billing or coding issues and requests re-bills, secondary billing, or corrected bills as needed
• Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to:
• Ability to multitask in several applications and systems simultaneously and demonstrates competency with Microsoft Suite and assorted internet browsers required
• Must posses general PC aptitude and keyboarding ability -- must be able to type at a minimum of 40 wpm required
• Maintains departmental productivity and quality standards and encourages team members to do so as well
• Demonstrates the ability to professionally communicate with colleagues, payers, and clients (if necessary)
• Contacts third party payers and government agencies to resolve outstanding account balances
• Performing account follow-up activities on high-dollar accounts receivable
• Researches and documents any correspondence received related to assigned accounts
• Ensures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc.

Education and Experience:

• High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred
• Hands-on experience using Epic, Cerner, Invision, Soarian, McKesson, Allscripts, Meditech, and other industry recognized Revenue Cycle Management Systems required
• A minimum of 1-2 years in Healthcare Provider Revenue Cycle experience required
• Hands-on knowledge of UB-04 and/or HCFA 1500 billing and account follow up, CPT and ICD-10 coding and terminology for hospital and/or ambulatory/physician billing

Physical Requirements:

• While performing the duties of this job, the employee is frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects. The employee must have the ability to sit for long periods of time.

For consideration, please send resume to [email protected]

[email protected]

TRC Staffing is proud to be an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.