by twochickswithasidehustle | Jan 2, 2023 | Uncategorized
Ventra Health
Job Summary:
- Accounts Receivable (“AR”) Specialists are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Representatives are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards.
Responsibilities
Essential Functions and Tasks:
- Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients
- Process assigned AR work lists provided by the manager in a timely manner
- Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution
- Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations
- Recommend accounts to be written off on Adjustment Request
- Reports address and/or filing rule changes to the manager
- Check system for missing payments
- Properly notates patient accounts
- Review each piece of correspondence to determine specific problems
- Research patient accounts
- Reviews accounts and to determine appropriate follow-up actions (adjustments, letters, phone insurance, etc.)
- Processes and follows up on appeals. Files appeals on claim denials
- Scan correspondence and index to the proper account
- Inbound/outbound calls may be required for follow up on accounts
- Route client calls to the appropriate RCM
- Respond to insurance company claim inquiries
- Communicates with insurance companies for status on outstanding claims
- Meet established production and quality standards as set by Ventra Health
- Performs special projects and other duties as assigned
Qualifications
Education and Experience Requirements:
- High School Diploma or GED
- At least one (1) year in data entry field and one (1) year in medical billing and claims resolution preferred
- AAHAM and/or HFMA certification preferred
- Experience with offshore engagement and collaboration desired
Knowledge, Skills, and Abilities (KSAs):
- Intermediate level knowledge of medical billing rules, such as coordination of benefits, modifiers, Medicare, and Medicaid and understanding of EOBs
- Become proficient in use of billing software within 4 weeks and maintain proficiency
- Ability to read, understand, and apply state/federal laws, regulations, and policies
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner
- Ability to remain flexible and work within a collaborative and fast paced environment
- Basic use of computer, telephone, internet, copier, fax, and scanner
- Basic touch 10 key skills
- Basic Math skills
- Understand and comply with company policies and procedures
- Strong oral, written, and interpersonal communication skills
- Strong time management and organizational skills
- Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills
APPLY HERE
by twochickswithasidehustle | Jan 2, 2023 | Uncategorized
Labcorp
LabCorp is seeking a HealthCare Billing Specialist to join our team! LabCorp’s Revenue Cycle Management Division is seeking individuals whose work will improve health and improve lives. If you are interested in a career where learning and engagement are valued, and the lives you touch provide you with a higher sense of purpose, then LabCorp is the place for you!
Responsibilities:
- Research, translate, and analyze routine front end billing issues
- Research, translate, and update demographic data to ensure prompt payment from customers
- Resolve systems issues from daily reports to determine appropriate resolution action
- Fast paced; after extensive training- will have daily/weekly goals to be met
Requirements:
- High School Diploma or equivalent
- Associate’s Degree or Medical Coding and Billing Certification a plus
- REMOTE work; must have high level Internet speed (50 mbps) connectivity
- 1 year Billing experience a plus, but not required
- Ability to work and learn in a fast paced environment
- Strong attention to detail
- Ability to perform successfully in a team environment
- Excellent organizational and communication skills
- Strong verbal communication skills and excellent ability to listen and respond
- Basic knowledge of Microsoft office
- Alpha-Numeric Data Entry proficiency strongly preferred
Why should I become a Healthcare Billing Specialist at LabCorp?
- Generous Paid Time off!
- Medical, Vision and Dental Insurance Options!
- Flexible Spending Accounts!
- 401k and Employee Stock Purchase Plans!
- No Charge Lab Testing!
- Fitness Reimbursement Program!
- And many more incentives!
APPLY HERE
by twochickswithasidehustle | Jan 2, 2023 | Uncategorized
Cotiviti
Overview
Cotiviti is urgently hiring!
Are you ready for a rewarding career in the healthcare industry? Come join our team of 7000+ employees on a growing team of 500+ Call Center Agents in reshaping the economics of healthcare. Cotiviti drives better healthcare outcomes through data analytics. This means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. Learn more at www.Cotiviti.com.
Responsibilities
FANTASTIC PERKS AND BENEFITS
- No nights or weekends
- No irate customers or sales calls
- 10 paid holidays a year
- Incentive bonuses
- 17 days of accrued Paid Time Off per year
- Medical, dental and vision benefits
- 401(k) matching with no vesting period
- Access to Cotiviti Perks at Work – enjoy substantial savings from hundreds of local and national vendors
- Tuition Reimbursement (after 1 year of employment)
- Career advancement opportunities both within the Call Center as well as other areas of the business including IT, HR, Finance, Analytics and many other functions (see screenshot below for example paths!).
**REMOTE POSITIONS. Starting wage is $14.00 with full benefits available the 1st of the month following your start date. Potential $0.50 pay increase at 90 days. NO NIGHTS OR WEEKENDS!**
Check out this video to see what it’s like to work in our Call Center!
https://www.youtube.com/watch?v=HBAPEA0dkCo
Responsibilities:
The Records Retrieval Agent represents the clientele of Cotiviti in requesting and obtaining medical records from healthcare providers.
- Contact healthcare provider offices to request copies of medical records
- Identify and coordinate the method for record retrieval with provider offices
- Maintain professional and frequent contact with provider offices throughout the record retrieval process
- Provide accurate and timely updates on the record retrieval status to Cotiviti clients
- Complete all responsibilities as outlined on annual Performance Plan.
- Complete all special projects and other duties as assigned.
- Must be able to perform duties with or without reasonable accommodation.
Potential Career Path Options
Qualifications
- High School diploma, GED, or equivalent work experience
- Previous call center sales or collections experience preferred, not required. We will provide training
- Ability to communicate clearly through verbal and written communication, using proper spelling and grammar
- Demonstrated ability to give close attention to details, including planning, executing, and follow up procedures
- Must be able to work well in a team environment
- Demonstrated understanding of HIPAA regulations preferred
- Typing speed of 30 words per minute (wpm) with 90% accuracy
- Basic computer navigational skills
Job Demands
- This is a remote, work from home full-time role
- Anticipated class starts on Monday 11/28/2022
- Training is 4 weeks, M-F, 9:00 am – 5:30 pm Eastern time — 100% attendance required
- Internet upload speed of 25 mpbs and download speed of 5 mpbs
APPLY HERE
by twochickswithasidehustle | Jan 2, 2023 | Uncategorized
USAP – US Anesthesia Partners
Overview
Data Entry team member whose primary responsibility will be working and clearing edits in TES and BAR. Posting prepay payments, doing package adjustments, and sending out monthly invoices for all package accounts that are surgeon/facility directed.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
- Processing and clearing TES and BAR edits to ensure clean claims going out.
- Contacting surgeon/facilities to confirm billing information.
- Running eligibility on a variety of insurance portals.
- Confirming authorizations, etc. in hospital portals
- Working prepay task manager view in order to process cosmetic adjustments.
- Send out monthly invoices to all surgeon/facility directed accounts.
- Post all prepay payments to patient accounts.
- Reconcile any package credit balances.
- Partnering with surgeons’ offices and facilities to help resolve any billing or patient issues.
- Partnering with other RCM departments to ensure appropriate billing for cosmetic/insurance splits.
- Processing custom edits to ensure proper billing to either patient or surgeon.
REPORTING TO THIS POSITION: This position will not be responsible for any direct reports.
Qualifications
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
- Healthcare/RCM experience
- Professional communication skills, both verbal and written
EDUCATION/TRAINING/EXPERIENCE:
- High School diploma
- Healthcare/RCM experience a must
- Anesthesia knowledge is a bonus
- Payment posting experience preferred
PHYSICAL REQUIREMENTS:
- Ability to sit at a desk and computer for a full 8 hour shift, continuous data entry
- Ability to answer inbound phone calls and make outbound phone calls
WORKING CONDITIONS (environment and safety):
- Work performed in office environment
- Involves frequent contact with professional staff and managed care organizations
- Work may be stressful at times
- Interaction with others is frequent and often disruptive
APPLY HERE
by twochickswithasidehustle | Dec 29, 2022 | Uncategorized
American Specialty Health – ASH
Description
American Specialty Health is seeking a detail oriented research representative for our Eligibility team. This position will research and resolve eligibility verification requests while providing the highest quality of customer service by maintaining a professional and courteous manner. The ideal candidate will have strong typing and 10-key skills while maintaining 98% accuracy. The research representative follows confidentiality guidelines to ensure security measures are enforced and proprietary information remains protected.
Remote Worker Considerations
Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).
Responsibilities
- Verifies member eligibility from the eligibility file, communications logs, and health plan websites or by calling the health plan directly when all other resources are exhausted.
- Inputs and saves verified member’s information into the communications log and/or member maintenance.
- Promptly processes and completes research to ensure turnaround times are met.
- Makes follow up calls to practitioners and members to provide research results.
- Builds or updates member and group records in ASH’s proprietary claims processing system including documentation in notes.
- Follows confidentiality guidelines to ensure security measures are enforced and proprietary information is protected
- Must maintain a minimum production level of 85 claims, 60 CSS/MNA, or 60 Ashlink requests per day pro-rata with no less than 98% accuracy.
- Ability to assist in multiple functions as needed.
- Ability to participate in peer mentorship as needed.
Qualifications
- High School Diploma required.
- Minimum one year experience with 10 key, typing, and computer skills. 8,000-10,000 key strokes per hour required.
- Excellent customer service skills, experienced in making outbound calls and meeting expectations for productivity and accuracy required.
- Experience with claims processing or eligibility verification preferred.
Core Competencies
- Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
- Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
- Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
- Ability to effectively organize, prioritize, multi-task and manage time.
- Demonstrated accuracy and productivity in a changing environment with constant interruptions.
- Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
- Ability to exercise strict confidentiality in all matters.
APPLY HERE
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