Location: Remote / Work-from-Home
Description:
Responsible for timely daily Accounts Receivable resolution in accordance with reimbursement policy and procedures. Position is responsible for seeking resolution to problem payers and generating revenue by researching outstanding payer claims. Generates appeals, monitors and pursues delinquent accounts.
Responsibilities:
- Examine denied claims, and work through the claim denial process for resubmission or other appropriate resolution
- Works Insurance Accounts Receivable reports per Accounts Receivable work plan
- Submits written appeals to insurance carriers when applicable and ensures timely follow-up regarding status.
- Ensures timely follow-up of outstanding claims/balances
- Maintains strong working knowledge of ABA coding or the specific specialty in which the Accounts Receivable is assigned.
- Month end reporting of accounts
- Demonstrates thorough understanding of the Accounts Receivable function compliant with Federal and State regulations and procedures.
Work Standards:
- Understands and adheres to all external accreditation review standards, applicable state, local and Federal laws and/or regulations including maintaining patient confidentiality through abiding by HIPAA laws/regulations
- Understands and adheres to all company policies and procedures
- Demonstrates ability to communicate in a warm, helpful and effective manner to all departments
- Accurate and organized with the ability to multitask
- Follows through on all assigned tasks and in a timely manner
- Sets high goals or standards of performance for self with the ability to apply organization skills
- Establishes and maintains positive working relationships with internal and external customers as well as all company employees
- Takes initiative to present ideas/suggestions to management utilizing proactive problem-solving approach
Position Key Indicators:
- Utilizes appropriate communication lines in relaying problems, concerns, questions, and ideas
- Demonstrates concern for all aspects of the job and accurately checks processes and tasks to ensure quality output
- Handles all insurance calls with professionalism to build constructive and effective relationships
- Promotes PHI culture by providing quality, comprehensive services to all customers through a team approach
Requirements:
- Competent with office computer program (i.e. EZClaims)
- Competent at partner programs (i.e. Word, Excel, PowerPoint)
- Effective written and oral communication skills
- Excellent interpersonal, communication and organizational skills required
- Ability to prioritize, problem solve, and multitask is required
- High school diploma or equivalent (GED)
- A minimum of 1-2 years’ experience in medical field (preferably with ABA Therapy, Speech and OT claims) with a working knowledge of managed care, commercial insurance, and verification processes preferred
Benefits:
· Competitive Pay
· Pay range $18-$20/hour
· 3.5 % Match 401k Plan
· At least 9 Paid PTOs days, 9 Unpaid days, & 9 Paid Holidays (Additional PTO with each year of Service) or more
· $3,000 Sign-On Bonus
· Flexible 40-hour work week
· Work from home
· Full Health, Dental, Vision, Life, & Voluntary Life Insurance Coverage
· Health Savings Accounts & Matching
· Employee Assistance Program (EAP)
· Wellness Programs
· Health Coaching
· Referral Bonus System
· Employee Discounts
· Dedicated Research Department
· Supportive & Collaborative Teamwork
· Consistent Company Wide Communication (2x Week)
· Ability for Advancement both Clinically & Non-Clinically
· Community Service and Organizational Support
To apply, please submit your online application, along with your resume.
We are an Equal Opportunity Employer and encourage all applicants.
