Offer summary

Qualifications:

Minimum of an Associate's degree, Bachelor's preferred., At least 2 years of experience in health care accounts receivable follow-up., Strong understanding of insurance guidelines, including COB, HIPAA, CPT, and ICD-10., Proficiency in Excel or Google Sheets is preferred. .

Key responsabilities:

Ensure timely collection of payments from payers and follow up on denied claims.

Utilize various tools to identify reasons for non-payments and facilitate claim adjudication.

Collaborate with billing vendors and insurance companies to resolve claim denials and refile for reimbursement.

Analyze billing data to identify trends and create reports for management.

Job description

Description

Company: Oak Street Health

Title: Associate, Revenue Cycle

Location: Remote

Role Description:

The Revenue Cycle Associate will be involved in the companyâs day-to-day revenue cycle management and accounts receivable operations to ensure timely and appropriate submission of health care claims and subsequent payment for services rendered.

Core Responsibilities:

Ensure payments are collected timely and in full from payers, and perform appropriate accounts receivable follow-up for denied claims
Make use of all available tools (websites, electronic medical records, and payer systems) to efficiently identify reasons for non-payments, and follow the necessary steps for the insurance company to adjudicate the claims
Work with billing vendor and insurance companies to follow up on denials of claims, make necessary corrections, and refile the claim to payer for reimbursement
Process and upload checks/electronic payments to billing vendorâs portal for cash posting
Review/approve patient statements prior to billing vendor mailing
Analyze data from billing vendor to identify trends and create reports for management
Interact and collaborate with administrative staff within our clinics and our billing vendor to resolve billing questions
Proficiency reading proper insurance plan and policy# from insurance ID cards
Experience using Multi-payer web portals
Ability to extract details from medical records to substantiate billing coding changes
Communicate effectively using helpdesk ticketing system to reply to clinic inquiries regarding patient statements
Contact payers to obtain clarification and/or details regarding incorrect payment/denials
Effectively work edits within claim scrubbing software
Accurately complete assignments in a timely manner
Maintain working knowledge of company policies for collections, adjustments and write offs
Possess strong critical thinking and problem solving skills to work through payers issues such as denials, underpayments and/or missing payment
Adaptable to changing procedures and a growing environment
Other duties as assigned

What are we looking for?

The ideal candidate must have experience in health care accounts receivable follow-up, exceptional customer service skills, and a good understanding of the claims revenue cycle
Must know how to read and interpret insurance Explanation of Benefits (EOB) statements
At least 2 years of working on coding denials, and understanding of NCCI edits is preferred
Solid understanding of insurance guidelines and principles including; COB, HIPAA, CPT, ICD-10, medical terminology, and managed care plans
Time management skills, and the ability to meet deadlines is imperative
education minimum of Associates degree, Bachelors preferred
excel/google sheets experienced preferred
CPB and /or CPC credentials are a plus
US work authorization
Someone who embodies being âOakyâ

What does being âOakyâ look like?

Radiating positive energy
Assuming good intentions
Creating an unmatched patient experience
Driving clinical excellence
Taking ownership and delivering results
Being relentlessly determined

Why Oak Street Health?

Oak Street Health is on a mission to âRebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patientâs communities, and focused on the quality of care over volume of services. Weâre an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody âOakyâ values and passion for our mission.

Oak Street Health Benefits:

Mission-focused career impacting change and measurably improving health outcomes for medicare patients
Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply.

Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health

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