Key Facts

Remote From:

Colorado (USA)

Full time

Mid-level (2-5 years)

English

Hard Skills

Other Skills

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Microsoft Excel
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Microsoft Office
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Microsoft Word
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Communication
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Time Management
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Teamwork
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Customer Service
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Detail Oriented
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Problem Solving

Quantix, Inc.

About Quantix, Inc.

Quantix is an IT workforce management services provider that prioritizes people and purpose for growth. Pioneering the road map for changing the culture in the IT services industry. Quantix believes in unleashing the power of human potential, embracing diversity, and helping people and organizations thrive in reshaping our economy and the world. Quantix is on a mission to set a new standard for business to create a more inclusive reality for individuals and teams by supporting organizations that create the type of workplace where people feel motivated to contribute in a way that fuels bottom-line growth. Since 2002 we've been providing contract, contract-to-hire and direct hire services to a wide range of clients. We provide individual consultants, project management, project teams and executive management placements.

Founded: 2018

Company size: 51 - 200

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Job description

Title: Patient Acct I - Credit Control Rep II Job
Location: 100% Remote
Type: Contract
Duration: 3 months with possible extension or conversion
Hours: 40/wk
Rate: 25/hr
Start: ASAP

Job Description:
Reviews payments on patient accounts, verifies payments and overpayments and applies to appropriate charges or processes refunds.
Job Responsibilities:
-Resolves both undistributed and credit balance accounts while working from an assigned work list.
-Research all aspects of the claim cycle to identify and correct errors which cause misappropriated funds.
-Documents all actions taken on the electronic patient account. -Verifies payer remittance to apply payments appropriately.
-Utilizes resources to find payment documentation.
-Interprets payer contracts to ensure all codes on patient's account match our contracts.
-Reviews EOB to make sure payments were applied correctly, insurance processes correctly, and the posting is correct.
-Understand how to evaluate payments. -Performs GAP analysis. Processes adjustments and recoups.
-Manages assigned work queue for patient accounts.
-Identifies, researches and proposes solutions to trends.
-Meets productivity and quality goals.
-Provides feedback to management regarding specific problems. -Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.
-Performs other duties as assigned.

Required Skills & Experience:
-One (1) year of medical revenue cycle experience or cash handling in a business environment, including resolving invoicing issues.
-Understanding of complete revenue cycle from patient charge entry to applying payment.
-Strong computer skills including proficiency with MS Office programs including Word and Excel.
-Knowledge of general medical billing, insurance, and compliance regulations and coding.
-Knowledge of medical terminology.
-Understanding of insurance remits.
Preferred Skills & Experience:
-Three (3) years of Hospital/physician billing or claims follow-up and previous Insurance denials, appeals and payment posting experience.

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