Change Healthcare
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
Accounts Receivable Specialist
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
Work Location:
- Fully Remote – U.S.
Position:
Possess and apply thorough knowledge of collections and the ability to apply that knowledge to all aspects of patient accounts including insurance, billing, and collection processes. They Identify problem accounts and review accounts for discrepancies and potential issues. The AR Specialist will also contact insurance companies to resolve claims not paid in a timely manner, identify coding or billing issues from EOB’s and work to correct errors with audit team or client. The AR Specialist is responsible for researching and resolving claim related issues in order to receive maximum profitability for clients. Also reviews the claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and updates accounts as necessary.
Core Responsibilities:
- May make recommendations to Manager on proper course of action to collect on account
- Assume accountability for working claim denials, including initiating the denial appeal process. Document and track the status of appeals
- Work with payers to resolve issues in a timely manner
- Work closely with the supervisor to assist in collecting data on root causes and denial prevention procedures
- Performs the necessary audits to evaluate the revenue cycle process and educates Management Staff on issues impacting reimbursement
- This is a non-management job that will report to a supervisor, manager or director
Requirements:
- High School Diploma or GED required
- Minimum of 2 yrs experience working underpayments/denials, or prior experience as a Healthcare Insurance Collector, Patient Account Representative or related experience
Preferred Qualifications:
- Acute appeals/denials/collections experience gained in a hospital
- Payer Relations background
- Knowledge of commercial collections
- Demonstrated excellent critical thinking and analytical experience
- Ability to analyze EOB denials and determine steps necessary to correct claims
- Working knowledge CPT codes to patient records according to established procedures
- Understands medical terminology and medical coding terminology
Working Conditions/Physical Requirements:
- General office demands
Unique Benefits*:
- Flexible work environments
- Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets
- Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships
- Employee wellbeing programs and generous health plans
- Educational assistance programs
- US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions
- Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies
California / Colorado / New Jersey / New York / Rhode Island / Washington Residents Only:
The applicable base pay for your state is listed below. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Change Healthcare offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with Change Healthcare, you’ll find a far-reaching choice of benefits and incentives.
The base pay range for this position is $13.07 – $29.02