REC PAR Specialist-3

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:

• Monday to Friday
  
  

Education:

• GED/High School Diploma
  
  

Experience:

• Hospital Billing/Collections or Medical Billing: 3+ years (Preferred)
  
  

Work Location:

• One location
  
  

Work Remotely:

• Yes
  
  

COVID-19 Precaution(s):

• Remote interview process