We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
ABOUT THE ORGANIZATION Elevate Patient Financial Solutions℠ is a trusted partner who delivers superior RCM solutions to hospitals, health systems, and health providers nationwide. For more than 40 years, we’ve been developing and continually refining our best-in-class services and innovative, specialized technology to address the most complex challenges of the revenue cycle. We’ve carefully built teams with unmatched industry experience and service-specific expertise, and our commitment is to deliver on our promises, seek continuous improvement, and the pursuit of excellence to deliver results for our clients. Our services include Eligibility & Disability, Self-Pay, Third Party Liability, Workers’ Compensation, Veterans Administration, COB Denials, Out-of-State Eligibility, and A/R Services, including A/R billing and insurance follow up, legacy conversions and project-specific aged A/R work down. With in-depth, state-specific knowledge and a coast-to-coast presence, ElevatePFS℠ delivers exceptional performance and an unmatched client experience.
DESCRIPTION
Elevate Patient Financial Solutions has an exciting career opportunity available as a Claims Specialist. This position will be a remote based role. The Full Time schedule for this role will be Monday through Friday 8 AM TO 5 PM.
POSITION OVERVIEW:
Elevate PFS provides revenue cycle solutions to hospitals and physicians throughout the United States. This includes AR support for Out-of-State Medicaid accounts. The purpose of this position is to provide administrative support to the Out-of-State Medicaid team.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Organize and mail claims and appeals to insurance carriers in a timely manner.
Sort and process incoming mail and outgoing requests for necessary documentation for claims processing.
Update and file correspondence to all applicable systems.
Perform manual data entry of patient accounts and or claim forms.
Maintain case clear, concise and accurate account notation.
Assist with any other administrative duties as needed.
Provide responses to client inquiries within 24 hours.
Work in compliance with state and federal guidelines, including HIPAA and FDCPA.
Other duties as assigned.
QUALIFICATIONS AND REQUIREMENTS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.
High School Diploma or GED.
Excellent verbal and written communication skills.
Detail-oriented.
Organizational skills.
Required computer skills: must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications.
BENEFITS:
Elevate PFS Holdings believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.
Medical, Dental & Vision Insurance
401K (100% match for the first 3% & 50% match for the next 2%)
15 days of PTO
2 Floating holidays
7 paid Holidays
Employee referral bonus program
Teamwork: We believe in teamwork and having fun together
Career Growth: Gain great experience to promote to higher roles
The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.