RCM Insurance Specialist

The Emily Program•Roseville, MN

15h•$22 - $25•Remote

About The Position

Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That’s why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care. As an Insurance Billing/ AR Follow-Up Specialist you are responsible for the maximization of reimbursement by contacting insurance carriers and/or 3rd parties on a daily basis to collect outstanding insurance balances due, resolve disputes and denials and general non-payment issues.

Requirements

Minimum of 3 years’ Billing and Accounts Receivable experience in a healthcare office environment.
Significant experience using Microsoft Office - Word, Excel, PowerPoint, and Outlook.
Ability to learn and adapt to internal software programs.

Nice To Haves

Post-secondary degree preferred.
Coding experience a plus.

Responsibilities

Understanding of and adherence to payer policies and protocol.
Utilize Payer resources to resolve disputes and denials.
Adhere to payer timely filing limits and work accounts to resolve within payer timely filing parameters.
Appeal claims when appropriate and within timely filing limits.
Perform due diligence in reconciling outstanding balances ensuring all efforts have been exhausted in resolving issues with payers prior to write-off.
Research all payer refund requests, recoupments and credit balances for accuracy and appeal if appropriate.
Familiar with Payer contracts to ensure compliance.