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Revenue Cycle AR Specialist

Remote: 
Full Remote
Contract: 
Experience: 
Junior (1-2 years)
Work from: 

Offer summary

Qualifications:

Minimum 1 year of physician billing experience, High school diploma required, Strong written, verbal, and interpersonal communication skills, 2-4 years of healthcare accounts receivable preferred, Billing certification preferred.

Key responsabilities:

  • Initiate AR follow-up of unpaid claims
  • Resolve delinquent accounts effectively
  • Research and appeal claim rejections
  • Maintain and update patient information
  • Document communications in practice management system
Transformations Care Network logo
Transformations Care Network Medical Device Scaleup https://www.transformationsnetwork.com/
201 - 500 Employees
See more Transformations Care Network offers

Job description

As a Cash Application Specialist, you will be an essential part of the corporate business support team. You will have the opportunity to collaborate with professionals from diverse backgrounds and contribute to the strategic goals of our company. Your role will involve providing essential support to various departments, enabling them to focus on their core functions and drive overall success.

Key Responsibilities

  • Initiate AR follow-up of all unpaid or denied claims with the appropriate Payor or Patient
  • Resolve delinquent accounts in a timely manner by proactively working outstanding insurance accounts.
    • Obtains missing claim information to ensure prompt payment
    • Research, appeal and resolve claim rejections/denials with the appropriate Payor
  • Respond to written Payor communications as indicated with appropriate action in timely manner
  • Update insurance and/or patient demographic information in the practice management system as required during follow up process
  • Communicate payment or denial patterns that impact revenue to management in a timely manner
  • Document daily in the practice management system all follow up and communication on a patient account in a consistent and concise format
  • Processes adjustments when appropriate and in accordance with policies
  • Maintain knowledge of mental health billing, department policies and procedures
  • Develop and maintain positive working relationships with cross-functional teams, teammates and Payor representatives and other key stakeholders
  • Consistently meet or exceed the department productivity and quality standards and performance requirements
  • Collaborate as needed to identify and resolve underpayments and overpayments
  • Other duties and responsibilities as assigned including but not limited to:
    • Work overtime with little or no notice as needed
    • Attend team meetings, phone conferences, and training as needed.
Qualifications

  • Minimum 1 year of physician billing experience
  • High school diploma
  • Self-starter; able to move own workflow along with minimal oversight
  • Accurate; detail-oriented and able to meet tight turnaround times
  • Strong written, verbal, and interpersonal communication skills
  • Ability to exercise initiative, judgment, and decision-making skills
  • Intermediate computer skills and proficiency in MS word, excel outlook and database management, and internet usage
  • 2-4 years of physician payment posting, billing, and accounts receivable in healthcare (preferred)
  • Certified Revenue Cycle Representative or other billing certification (preferred)
  • Nextgen experience is a plus

Explore The Advantages Of Joining Our Team

  • Enjoy competitive salary and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.
  • Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize client care.
  • Embrace a journey of continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.
  • Play a pivotal role in reshaping behavioral health, with your efforts directly improving client lives.
  • Thrive in an environment that celebrates collaborative success, driven by effective communication and unity.
  • Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents, and assure your triumph in your role.

Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.

Required profile

Experience

Level of experience: Junior (1-2 years)
Industry :
Medical Device
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Time Management
  • Decision Making
  • Microsoft Outlook
  • Microsoft Excel
  • Microsoft Word
  • Verbal Communication Skills
  • Detail Oriented
  • Social Skills

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