We serve more than 10 million patients annually at 400+ programs in 26 states
AR Research and Resolution Representative
Location
Ohio
Posted
2 days ago
Salary
$14 - $26 / hour
Seniority
Senior
Job Description
AR Research and Resolution Representative
US Acute Care Solutions
• Researching and resolving claims to maximize cash collections, minimizing denials and lost revenue • Modeling the organization's values, and working on individual and project denial and claim assignments • Performing various complex duties, including working outstanding insurance or contract claims and resolving claim edits and denials • Maintaining worklists and assignments at acceptable levels based on performance targets, KPI, and quality scores • Conducting 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 • Escalating items promptly • Identifying opportunities to improve department workflows and cross-functional processes • Contributing to the development and maintenance of company-wide payer matrices and updates to Standard Operating Procedures • Serving as an active contributor in team meetings • Maintaining knowledge of current government and carrier regulations relevant to the industry • Performing and assisting with other department duties as needed
Job Requirements
- High school diploma or equivalent
- Experience in medical insurance, billing experience, or equivalent training or education is helpful, but not required
- Knowledge of and skill in using personal computers in a Windows environment
- 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
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
- Additional compensation may include bonus eligibility, equity, or other incentive programs
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