Revenue Cycle Bad Debt Recovery Associate

Upstream Rehabilitation

79d

About The Position

This position is responsible for reviewing patient balances for accuracy and progression to collection agency. Reviewing payments and patient balances in a timely manner, submitting appeals as needed, to resolve issues related to the nonpayment of insurance claims or incorrect processing of claims. This position is responsible for supporting the mission, vision and values of Upstream Rehabilitation.

Requirements

• High School Diploma or equivalent.
• 3+ years’ experience in Revenue Cycle, Medicare, Medicaid, and Commercial Insurance in a high-production environment.
• Working knowledge of Medicare, Medicaid, and Commercial insurance processes and Remittance Advices.
• Knowledge of CPT, ICD-9, ICD-10, and outpatient therapy billing preferred.
• Excellent communication skills, attention to detail, ability to multitask, organization and detailed oriented, ability to problem solve, meet deadlines, function independently & as a member of a team.
• Must possess efficient time management and presentation skills, and the ability to manage large volumes of data and be proactive in minimizing data quality defects.
• Working knowledge of Microsoft Excel, Word and ability to adapt to company’s standard software programs.

Nice To Haves

• Prefer experience with outpatient volumes in excess of 10,000 visits per week.
• Preferred Experience in the Healthcare Industry.

Responsibilities

• Meet accounts receivable collections operational standards for productivity, quality, and customer-service standards.
• Research, respond, and document insurance correspondence, eligibility and benefits, and reimbursement on patient accounts.
• Correcting ledger issues regarding incorrect transfers and contractual adjustments.
• Review the patient balance to ensure it meets all guidelines to proceed to collections.
• Corresponding with the collection’s agency by email on account status.
• Correspond internally with other departments to ensure that the account is worked properly by those areas.
• Work with Manager to address any trend issue found or any issues with the collection agency.
• Identify, analyze, and research frequent root causes of account reviews to coordinate corrective action plans for resolution of denials and identify opportunities for improvement.
• Effectively communicate with others within the business office, at the clinics as well as outside contacts (patients, vendors, physicians, etc.).
• Protects organization’s value by keeping information confidential.
• Maintain a working knowledge of insurance policies and procedures to ensure the timely resolution of claims issues.

Benefits

• Annual paid Charity Day to give back to a cause meaningful to you.
• Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance.
• 3-week Paid Time Off plus paid holidays.
• 401K + company match.

What This Job Offers

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