Offer summary

Qualifications:

3+ years of experience in Hospital Billing/Collections or Medical Billing is preferred., Proficiency in billing regulations, claim form requirements, and appeal processes for various payer sources., Strong attention to detail and organizational skills are essential., Ability to work independently in a fast-paced, remote environment..

Key responsabilities:

Expedite clean claim and rebill submissions for hospital clients.

Research and resolve claim holds and denials, ensuring accurate patient and insurance information.

Document all actions taken on accounts and report barriers to billing and reimbursement.

Maintain daily productivity and quality expectations while adhering to HIPAA guidelines.

Job description

ResolutionRCM, a QHR Health company is seeking strong revenue cycle analysts with hospital claims and collections experience. Applicants must be knowledgeable in the areas of AR follow-up/collections, appeal writing, root cause analysis and billing. The primary responsibility for this position is to expedite clean claim and rebill submissions and aggressive follow up efforts to secure payer reimbursement for our hospital clients across the nation.  The ideal candidate will have a demonstrated record of accuracy and efficiency and must be proficient in their knowledge of billing regulations, claim form requirements and appeal processes for government or non-government payer sources.

Qualifications

Hospital Billing/Collections or Medical Billing: 3+ years (Preferred)
Work from Home Position Requires Reliable High Speed Internet Connection

Essential Functions

Accurately researches and initiates correction of pertinent information for outstanding accounts receivable such as patient demographic and insurance information, relevant UB/1500 claim form information and modifiers, and provider information as needed.
Prepares and submits clean claims to various insurance companies either electronically or by paper. Researches and resolves claim holds and denials. Verifies patient benefits, eligibility and coverage as needed.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Accurately reports barriers to billing and claim reimbursement via company-defined Cause and Action recording and inventory management tool and escalates all open claims to their immediate supervisor when claim resolution is beyond their scope.
Provides precise documentation of all actions taken on accounts worked.
Maintains client and/or position specific daily productivity and quality expectations

Required Skills and Experience

Hospital Billing/Collections or Medical Billing: 3+ years (Preferred)
Must adapt and demonstrate the ability to work independently from home in a fast-paced, changing and goal-oriented environment.
Must be detail oriented, organized, and possess the ability to apply critical thinking skills.

Job Type: Full-time
Schedule: