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ThedaCare logo
ThedaCare

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance.

Healthcare Revenue Cycle Specialist

Revenue OperationsRevenue OperationsFull TimeRemoteMid LevelTeam 5,001-10,000

Location

United States

Posted

42 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Healthcare Revenue Cycle Specialist

ThedaCare

Role Description The Accounts Receivable Specialist submits billing to the appropriate party and follows-up for adjudication and payment of individual claims. Communicates with insurance and other payers, patients, guarantors, family members, and/or other medical staff for status of individual claims to manage accounts receivable. Key Accountabilities: - Performs comparative analysis for accuracy of bill before submission to appropriate parties (i.e., charges, subscriber data, diagnosis/procedure codes, and late charges). - Processes claims in a timely manner according to contracts, regulations, department standards, and form requirements. - Generates phone calls to all parties to check status of unprocessed, unpaid, or rejected claims ensuring accurate and timely reimbursement. - Processes variety of correspondence from all parties taking appropriate steps to expedite timely resolution of claims payment. - Verifies insurance/payer and patient demographic information for accuracy of data collected at time of registration when appropriate. Inputs verification data to complete in-house claims generation of billing forms. - Re-bills accounts when new information is received requiring account updates with appropriate demographic and third party information to ensure payment. Updates patient record to indicate changes made. - Reviews internal and external reports for claims status. Qualifications - High School diploma or GED preferred - Must be 18 years of age Requirements - Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance - Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties Work Environment - Climate controlled office setting with daily movement throughout the facility - Interaction with department members and other healthcare providers Benefits - Lifestyle Engagement (e.g., health coaches, relaxation rooms, health focused apps like Wonder and Ripple, mental health support) - Access & Affordability (e.g., minimal or zero copays, team member cost sharing premiums, daycare) Scheduled Weekly Hours - 40 Scheduled FTE - 1 Location - CIN 3 Neenah Center - Appleton, Wisconsin Overtime Exempt - No Worker Shift Details - Days

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