Patient Access, Scheduler

Ovation Healthcare
Full time
Healthcare
United States
Hiring from: United States
ResolutionRCM, a QHR Health company is seeking strong revenue cycle analysts with hospital claims and collections experience. Applicants must be knowledgeable in the areas of AR follow-up/collections, appeal writing, root cause analysis and billing. The primary responsibility for this position is to expedite clean claim and rebill submissions and aggressive follow up efforts to secure payer reimbursement for our hospital clients across the nation.  The ideal candidate will have a demonstrated record of accuracy and efficiency and must be proficient in their knowledge of billing regulations, claim form requirements and appeal processes for government or non-government payer sources.

Qualifications

  • Hospital Billing/Collections or Medical Billing: 3+ years (Preferred)
  • Work from Home Position Requires Reliable High Speed Internet Connection

Essential Functions

  • Accurately researches and initiates correction of pertinent information for outstanding accounts receivable such as patient demographic and insurance information, relevant UB/1500 claim form information and modifiers, and provider information as needed.
  • Prepares and submits clean claims to various insurance companies either electronically or by paper. Researches and resolves claim holds and denials. Verifies patient benefits, eligibility and coverage as needed.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
  • Accurately reports barriers to billing and claim reimbursement via company-defined Cause and Action recording and inventory management tool and escalates all open claims to their immediate supervisor when claim resolution is beyond their scope.
  • Provides precise documentation of all actions taken on accounts worked.
  • Maintains client and/or position specific daily productivity and quality expectations

Required Skills And Experience

  • Hospital Billing/Collections or Medical Billing: 3+ years (Preferred)
  • Must adapt and demonstrate the ability to work independently from home in a fast-paced, changing and goal-oriented environment.
  • Must be detail oriented, organized, and possess the ability to apply critical thinking skills.

Job Type: Full-time

Schedule:

  • Monday to Friday

Education:

  • GED/High School Diploma

Experience:

  • Hospital Billing/Collections or Medical Billing: 3+ years (Preferred)

Work Location:

  • One location

Work Remotely:

  • Yes

COVID-19 Precaution(s):

  • Remote interview process

How to apply

To apply for this job you need to authorize on our website. If you don't have an account yet, please register.

Post a resume

Similar jobs

Lensa is the leading career site for job seekers at every stage of their career. Our client, Elevance Health, is seeking professionals. Apply via Lensa today! Transitions of Care RN- 100% Virtual Location : Virtual: This role enables associates to...
Healthcare
United States
Hiring from: United States
Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today! JOB SUMMARY (Purpose of the job and high-level summary of duties): The EMR Applications...
Healthcare
United States
Hiring from: United States
TapTalent.ai
Full time
We're Hiring: Registered Nurse-Review Analyst! We are seeking a compassionate and dedicated Registered Nurse to join our healthcare team in Lansing. The ideal candidate will possess exceptional clinical skills, a commitment to patient care, and the ability to work effectively...
Healthcare
United States
Hiring from: United States