Associate I, Reimbursement Collections

BAYADA Home Health Care is seeking a Healthcare Medical Collections Associate to join our Home Health Reimbursement Services team.  Are you looking for an exciting opportunity in a fast-growing industry? Do you want to make a difference in people’s lives while you grow your career and learn the business? Then the Reimbursement Associate position might be right for you!

This is REMOTE position.  Qualified candidates must be able to work Eastern Standard time hours. Bonus and success in this role is defined by key performance indicators (KPIs), with productivity being regularly measured and monitored.

MINIMUM QUALIFICATIONS:

• Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability
• Degree preferred (combination of education and experience may be used in lieu of degree)
• Minimum of one (1) year experience with Healthcare collections/accounts receivable experience
• Must have collections experience
• Experience with HCHB highly preferred
• Intermediate experience with Microsoft Excel
• Demonstrated record of strong interpersonal skills
• Demonstrated record of goal achievement.
• Prior health care and home care experience is a plus
• Competence in basic PC skills required to perform job functions

PRIMARY RESPONSIBILITIES:

• Manage a dedicated accounts receivable for select payor organizations, external business or clients ensuring timely payment.
• Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims from denying.
• Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities.
• Complete administrative appeals and escalation of outstanding claim issues with payor organizations.
• Communication of accounts receivable status with internal customers within service office locations providing status updates with outstanding A/R, bad debt risk and requests needed to secure payment from a client or payor organization.
• Coordinate requests for additional data or workflow between internal revenue cycle departments to allow for claim payment.
• Communicate and escalate accounts receivable trends with immediate supervisor, director and management teams to ensure timely and compliant payment for services.
• Review, document and communicate any claim processing or related changes initiated by payor organizations.
• Work within multiple practice management systems, claim clearinghouse solutions and payor websites to conduct research and complete necessary workflow.
• Ability to met/exceed established performance goals

BAYADA believes that our employees are our greatest asset:

• BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
• To learn more about BAYADA Benefits, click here