Denial Management Specialist - Revo Health

Revo Health•Bloomington, MN

1d•Onsite

About The Position

The Patient Financial Services Specialist is responsible for efficiently working accounts receivable for the organization. This is a full-time position working Monday-Friday 8:00 AM - 4:30 PM from our corporate office in Bloomington, MN. Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

Requirements

High School diploma/GED or equivalent
Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferred
Ability to sit for extended periods (up to 8 or more hours per day).
Frequent use of hands and fingers for typing, writing, and handling documents.
Occasional standing, walking, bending, or reaching within the office environment.
Ability to lift and carry office supplies or files weighing up to 20 pounds.
Visual acuity to read electronic and paper documents.
Auditory ability to participate in phone or video calls clearly.
Manual dexterity to operate standard office equipment (e.g., computer, phone, printer).
Comply with company policies, procedures, practices, and business ethics guidelines.
Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)
Demonstrate prompt and reliable attendance.
Work at an efficient and productive pace, handle interruptions appropriately, and meet deadlines. Prioritize workload effectively.
Communicate respectfully and professionally in face-to-face, phone and email interactions. Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions.

Responsibilities

Ensure professional communication with patients, clinic personnel, and outside vendors over the phone, via email or other written documentation and respond to all inquiries
Maintain a working knowledge of health care plan requirements and health plan networks
Verify and document insurance information as defined by current business practices
Accurately post all payments received from patients, attorney offices and/or insurance companies
Review Explanation of Benefits (EOB), research denials, rejections and/or excessive reductions
Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes
Prepare, submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy
Make outbound phone calls to patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
Review and work any credit balances to determine if patient and/or insurance company refund is applicable
Any and all other duties as assigned