A/R Research and Resolution Representative Job at US Acute Care Solutions
Where do you belong?
Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.
USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.
Job Description
Researches and reviews outstanding patient accounts and processes claim denials. Involves verifying patient eligibility, updating demographic and medical insurance coverage information, processing re-bills and adding documentation into the billing system.
Location: Remote
ESSENTIAL JOB FUNCTIONS:
- Resolves billing issues by correctly answering questions; determining and recommending how outstanding accounts should be further processed; providing appropriate follow-up on issues; reviewing department log books to obtain accurate information; rebilling patient accounts and communicating with internal personnel, third-party payers, employer groups and attorneys to obtain correct patient account information.
- Researches and reviews patient accounts to determine accurate account information and updates the billing system with accurate account information. Includes monitoring and reviewing various departmental reports.
- Identifies and reports trends in carrier payments and denials. Includes maintaining database of insurance carrier requirements.
- Maintains knowledge of current government and/or carrier regulations relevant to the industry.
- Prepares reports and/or sends specialized invoices when necessary.
- Performs and assists with other department duties as needed.
KNOWLEDGE, SKILLS AND ABILITIES:
- Knowledge of and skill in using personal computers in a Windows environment with an emphasis on basic word processing and data entry onto spreadsheet programs.
- Knowledge of medical insurance and its terminology.
- Basic knowledge of ICD-9 and CPT codes.
- Ability to pay close attention to detail.
- Ability to identify, research and solve problems and discrepancies.
- Ability to communicate with employees, management and payers in a courteous and professional manner.
- Ability to maintain confidentiality.
- Ability to process assigned duties in an organized manner.
- Ability to perform basic mathematical calculations such as adding, subtracting, multiplying and dividing.
- Ability to effectively perform in a multi-task work environment.
- Ability to work overtime when needed.
EDUCATION AND EXPERIENCE:
- High school diploma or equivalent.
- At least one year of medical insurance or billing experience or equivalent training or education.
PHYSICAL DEMANDS:
- While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
- Required to have close visual acuity to perform job
Hourly Rate: $12.91 - $21.52
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