Sr. Revenue Cycle Specialist: Special Projects

Job Description
Industry: Healthcare
Position: Sr. Revenue Cycle Specialist: Collections, Special Projects
Location: 100% Remote
Duration: 03+ months contract (+Possibility of extension)
Description
Would you like to work for a company with Core Values such as TEAM and FUN? Do you want your work to make a difference? Are you looking to build your career in healthcare? Then, join our growing team, which offers abundant opportunities to develop your professional and personal skills, advance your career, and positively impact our patients' lives.
seeks to grow our Senior Insurance Collections Team concentrating on Special Projects. This role's responsibility is to seek out and maximize reimbursement from various insurance plans by resolving complicated denials, short payments, billing errors, and other claim issues. The ideal candidate is a self-motivated individual that demonstrates strong critical thinking skills and can resolve complex problems with little leadership guidance or intervention. Individuals who excel in this role are ambitious, results-driven, and robust in root cause analysis. In addition, this position requires attention to detail, strong written and verbal communication skills, and the ability to work well as part of a fast-paced team.
This is a 100% remote position. All necessary equipment and training to be successful in this position will be provided.
ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Work assigned lists of outstanding claim balances and patient accounts with multifaceted issues across different payers and patients
• Identify trends, conduct follow-up, and perform root cause analysis on unpaid and underpaid insurance claims across different payers
• Perform actions towards remediation of outstanding balances according to policy and procedure; including but not limited to in-depth research, appeals, rebilling, obtaining insurance authorizations or referrals, correcting coding, calling the payer or clinic, and utilizing payor portals
• Resolve issues related to a patient's coordination of benefits (COB), demographic discrepancies, insurance eligibility or authorizations, and referrals as needed
• Address patient benefit-related denials, including phone verification of plan requirements, financial risk, as well as other factors that may impact reimbursement
• Navigate through various payer systems, provider portals, and internal applications to ensure timely and accurate claim resolution
• Regularly calls payers, employers, and patients
• Demonstrate ability to build strategic business relationships with internal and external partners (i.e., Billing & Coding Team, Registration Department, Credit Department, clinical teammates, and the payer(s))
• Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and policies

Schedule:

• 8-hour shift (Overtime available); regular business hours
• Monday -Friday

Qualifications:

• Highschool Diploma or equivalent (required); Associates or Bachelor's degree (preferred)
• Proficiency in Microsoft Office tools, including Excel, PowerPoint, Word, and Outlook (required)
• Experience working in healthcare Revenue Cycle; emphasis on collections (2+ years) (required)
• Experience obtaining insurance authorizations and sorting out coordination of benefits (preferred)-knowledge of retro authorizations and referrals is a plus!
• Ability to confidently place phone calls to payers, clinics and patients

Here is what you can expect when you join our Village:

• A "community first, company second; " a culture based on Core Values that matter
• Clinical outcomes consistently ranked above the national average
• Award-winning education and training across multiple career paths to help you reach your potential
• Performance-based rewards based on stellar individual and team contributions
• A comprehensive benefits package designed to enhance your health, your financial well-being, and your future
• Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation

We strive to be a community first and a company second. We want all teammates to experience as "a place where I belong. " Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
Work Environment:
Level III - Moderate noise (e.g., business office with computers or printers, light traffic). No required tasks involve greater exposure to blood, body fluids or tissues than would be encountered by a visitor. The normal work routine involves no exposure to blood, body fluids or other hazardous conditions.
Visual Demand:
Vision adequate to perform the essential duties/responsibilities of position.
May be required to demonstrate the ability to differentiate colors on a test strip.
Physical Demand:
Physical requirements can vary. These must be reviewed with management. However, in general, the position requires the following activities:
Ability to lift minimum of 5 lbs to a max of 50 lbs unassisted and able to stand, sit, stoop, walk, stretch, reach, and use full range of body motions.
Manual dexterity as required for specific equipment and ability to use computer keyboard and peripherals.
Language Skills:
Fluent in the written and verbal skills necessary to successfully perform the essential functions, duties, and responsibilities of the position.
ADA:
The client provides reasonable accommodations to enable otherwise qualified individuals with disabilities to perform the essential Physical and/or Mental functions of a position.