Accounts Receivable Specialist (Hybrid)

Ascend ClinicalColorado Springs, CO
$21 - $29Hybrid

About The Position

Ascend Clinical, LLC is one of the highest-volume clinical laboratories in the United States, processing millions of tests each month with advanced tools and technology. For over 30 years, we've set the standard for service and excellence in testing. What sets Ascend apart is our unique combination of clinical and healthcare water testing as we drive innovation across multiple areas of laboratory science. We're growing rapidly and looking for individuals who thrive in a fast-paced environment, embrace new challenges, and want to help shape what’s next.

Requirements

  • Medical billing, denial management and collections experience required
  • High degree of problem solving abilities required

Responsibilities

  • Responsible for all areas of the revenue management life cycle
  • Ensures necessary information critical to submitting clean claims is obtained
  • Perform eligibility and benefit checks
  • Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence
  • Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payer
  • Reviews and interprets payer remittances to determine appropriate action to be taken on denied claims
  • Identify root cause of claim exceptions; resolve and/or escalate issues
  • Analyzes outstanding account balances and determines plan of action to resolve
  • Determine and apply appropriate business action in absence of policies or in cases of ambiguity
  • Identifies and interprets policies related to exceptions
  • Contacts payers for status of unpaid claims
  • Maintains knowledge/understanding of third party payer regulations for managed care, Medicare, and Medicaid accounts
  • Maintains patient confidentiality according to compliance policies and HIPAA

Benefits

  • comprehensive medical coverage
  • life and disability insurance
  • 401(k) with company match
  • paid holidays and vacation
  • personal days
  • dental and vision options
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