by twochickswithasidehustle | Oct 24, 2024 | Uncategorized
At Sevita, we believe that everyone deserves to live well. For more than 50 years, our team members have provided home and community-based health care for adults, children, and their families across the United States. Our extraordinary team offers innovative, quality services and support that lead to growth and new opportunities for the people we serve and for our employees.
Do you have experience in Accounts Receivable/Collections and a desire to work for a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company’s commitment to serve others by sending claims to the payer in a timely and accurate manner.
This role is 100% remote and can be performed from anywhere in the US.
Responsibilities:
- Review and work in Denial Workflow (DWF) for tasks with follow-up dates that are set to expire on that day and for tasks without a payer response once past 30 days from billing
- Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
- Prepare appeal packet as required by payer, scan and save documentation to be sent, and update DWF with notes and a follow-up date
- Update collection procedures as necessary
- Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily
- Follow-up with Field on updates to items assigned to them that are past follow-up date
- Update DWF with clear concise notes as claims are worked
- Review unapplied cash log for any items that can be applied and work with cash team to resolve
- Complete necessary forms and provide appropriate support for refunds, cash moves, sales adjustments, and transfer of liability
- Ensure internal control compliance with all assigned areas and other audit requirements
- Maintain an effective control environment for the accounting operations
Qualifications:
- High school diploma or equivalent required; Associate or Bachelor’s degree in a finance-related field preferred
- 2-3 years of experience with Medical Collections in a high-volume environment preferred Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms
- Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types
- Self-motivated, detail-oriented, and highly organized with the ability to multi-task
- Excellent communication skills, analytical skills, and the ability to collect information from multiple sources
- Effectively use Microsoft Office
Why Join Us?
- Full compensation/benefits package for employees working 30+ hours/week
- 401(k) with company match
- Paid time off and holiday pay
- Complex work adding value to the organization’s mission alongside a great team of coworkers
- Enjoy job security with nationwide career development and advancement opportunities
We have meaningful work for you – come join our team – Apply Today!
Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years.
Sevita is committed to providing equal opportunities to all employees and applicants for employment. We are committed to creating an inclusive and diverse workplace that values and respects the unique talents, experiences, and perspectives of our employees and the people we serve.
As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, pregnancy, gender identity or any other characteristic protected by law. Explore Location
by twochickswithasidehustle | Oct 24, 2024 | Uncategorized
The incumbent of this role obtains medical record documentation needed for coding from USAP partner facilities, accomplished by accessing various hospital medical record EMR systems, and/or communicating with facilities using e fax, email, or phone requests. This role runs detailed reports from charge capture/coding platforms for use in KPI monitoring, and process improvement.
At this time, US Anesthesia Partners does not hire candidates residing in New York, California, Hawaii, or Alaska.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
- Experience with a variety of electronic medical
- EMR Navigation to locate and obtain required medical
- Communicate with external facility staff with a high level of
- Data entry into excel tracking
- Utilize coding platforms as required per divisional
- Prepare reports for aging and KPI for coding leadership as assigned or
- Prepare data worksheets for coding
- Communicate daily assignments with vendor
- Assist with maintenance of team playbooks (SOP/Pathways)
- Interact with and respond to physician coding documentation
- Monitors and track clinician responses to documentation deficiencies and provide feedback to Coding Quality and Education
- Process post op pain rounding
- Entry level coding (post prospective audit)
- Perform other duties as
- Adhere to all company policies and procedures – especially HIPAA and confidentility
Qualifications
Knowledge/Skills/Abilities (KSAs):
- CPC-A, or CPC with limited experience in anesthesia, RHIT eligible or newly credentialed
- Highschool graduate or equivalent.
- Experience working in a medical records department, or medical clerical experience is preferred but not required. Healthcare background is a plus.
- Minimal level of coding experience with a basic understanding of documentation guidelines, and the ability understand and keep abreast of coding guidelines.
- Ability to self-motivate and to initiate new projects when the opportunity presents itself.
- Ability to work independently, but under the direction of the team lead or supervisor.
- Excellent organization and time management capabilities.
- Intermediate knowledge and working experience with Microsoft Word, Excel, and Outlook.
- Ability to type 50 words per minute.
- Communicates well with all levels of USAP employees and vendors.
- Ability to read, write and speak English.
- Excellent computer skills.
*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Occasional Standing
- Occasional Walking
- Frequent Sitting
- Frequent hand, finger movement
- Use office equipment (in office or remote)
- Communicate verbally and in writing
DISCLAIMER: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.
by twochickswithasidehustle | Oct 24, 2024 | Uncategorized
At Sevita we believe that everyone deserves to live well. For more than 50 years, our team members have provided home and community-based health care for adults, children and their families across the United States. As a member of our corporate team, you’ll help shape the work that supports how our business runs, the services we provide, and the relationships we build with those we serve and each other. Join us, and experience a career well lived.
Do you have experience in Accounts Receivable/Collections and a desire to work for a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company’s commitment to serve others by sending claims to the payer in a timely and accurate manner.
This role is 100% remote and can be performed from anywhere in the US.
Responsibilities:
- Review and work in Denial Workflow (DWF) for tasks with follow-up dates that are set to expire on that day and for tasks without a payer response once past 30 days from billing
- Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
- Prepare appeal packet as required by payer, scan and save documentation to be sent, and update DWF with notes and a follow-up date
- Update collection procedures as necessary
- Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily
- Follow-up with Field on updates to items assigned to them that are past follow-up date
- Update DWF with clear concise notes as claims are worked
- Review unapplied cash log for any items that can be applied and work with cash team to resolve
- Complete necessary forms and provide appropriate support for refunds, cash moves, sales adjustments, and transfer of liability
- Ensure internal control compliance with all assigned areas and other audit requirements
- Maintain an effective control environment for the accounting operations
Qualifications:
- High school diploma or equivalent required; Associate or Bachelor’s degree in a finance-related field preferred
- 2-3 years of experience with Medical Collections in a high-volume environment preferred Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms
- Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types
- Self-motivated, detail-oriented, and highly organized with the ability to multi-task
- Excellent communication skills, analytical skills, and the ability to collect information from multiple sources
- Effectively use Microsoft Office
Why Join Us?
- Full compensation/benefits package for employees working 30+ hours/week
- 401(k) with company match
- Paid time off and holiday pay
- Complex work adding value to the organization’s mission alongside a great team of coworkers
- Enjoy job security with nationwide career development and advancement opportunities
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