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 maximizing cash collections, minimizing denials and lost revenue, modeling the organization's values, and working on individual and project denial and claim assignments. This is a remote position.

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.
• High school diploma or equivalent.
• At least one year of medical insurance, billing experience, or equivalent training or education.

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.

Benefits

• Medical, dental, and vision insurance options
• Health savings accounts (HSA) and flexible spending accounts (FSA)
• 401(k) employee and employer contributions
• Paid time off, including vacation, sick leave, and company holidays
• Paid parental leave & family support benefits
• Short-term and long-term disability insurance
• Life and accidental death & dismemberment (AD&D) insurance
• Employee assistance programs & wellness resources
• Bonus eligibility, equity, or other incentive programs, depending on the role.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED