AR Research and Resolution Representative

US Acute Care Solutions•Virtual OH, OH

8d•$15 - $27•Remote

About The Position

The AR Research & Resolution Representative is responsible for researching and resolving claims to maximize cash collections, minimizing denials and lost revenue, modeling the organization's values, and working on individual and project denial and claim assignments. This role is located remotely.

Requirements

Knowledge of and skill in using personal computers in a Windows environment, emphasizing basic word processing and data entry onto spreadsheet programs.
Knowledge of medical insurance and its terminology.
Basic knowledge of ICD-10 and CPT codes.
Ability to work independently and as an effective team contributor.
Ability to pay close attention to detail.
Ability to identify, research, and solve problems and discrepancies.
Ability to communicate courteously and professionally.
Ability to maintain confidentiality.
Ability to process assigned duties in an organized manner.
Ability to perform basic mathematical calculations such as adding, subtracting, multiplying, and dividing.
Ability to effectively perform in a multi-task work environment.
Ability to work overtime when needed.
Ability to work effectively in remote settings.

Nice To Haves

Experience in medical insurance, billing experience, or equivalent training or education is helpful, but not required.

Responsibilities

Performs various complex duties, including, but not limited to, working outstanding insurance or contract claims and resolving claim edits and denials.
Maintains worklists and assignments at acceptable levels based on performance targets, KPI, and quality scores.
Conducts all insurance or contract follow-up aspects, including interfacing with payers, communicating with internal and external business partners by conducting phone calls, and utilizing web-based tools.
Escalates items promptly.
Identifies opportunities to improve department workflows and cross-functional processes.
Contributes to the development and maintenance of company-wide payer matrices and updates to Standard Operating Procedures.
Serves as an active contributor in team meetings.
Maintains knowledge of current government and carrier regulations relevant to the industry.
Models the core values of the organization.
Performs and assists with other department duties as needed.