Veterans Sourcing Group LLC
Revenue Cycle Specialist: Medicare Bad Debt and Medicaid Collections
Veterans Sourcing Group LLC, Irvine, California, United States, 92713
Duties:
Number of positions: Total 4 GTM Take Home Wage: (USD)22 hourly Max mark up = 45% making our max bill rate (USD)*** Length of Contract: 4 months - likely no conversion available Location: Fully Remote (excluding California-we cannot hire in CA at this time) Schedule: Full time, Monday- Friday 8 am - 4:30 pm PST (30 minute clocked out lunch) Start date: ~June 8th, 2025 (~2-3 weeks after interview if offered position) ESSENTIAL DUTIES AND RESPONSIBILITIES: • Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on secondary to Medicare insurance claims; Actions include but are not limited to remit and EOB review, calling payer(s) and clinics, rebilling claims, navigating payer portals, and taking adjustments in the billing system • Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayments and follow appropriate documented policy and procedure to remediate • Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of secondary to Medicare claims • Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims • Stay current on communication relating to healthcare reimbursement and regulatory changes • Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives • Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude • Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and *** policies • Consistent and punctual attendance as scheduled is an essential responsibility of this position
Skills:
Required: • High school diploma or equivalent (GED) • Proficiency in Microsoft office tools such as Outlook, Word, PowerPoint, Excel, and OneNote • Excellent and demonstrated written and verbal communication skills • Computer competency; typing, basic computer troubleshooting, and navigation • Ability to problem solve and critically think root cause analysis Preferred Qualifications: • Healthcare experience; insurance or revenue cycle is a plus! • Insurance claim collections experience
Number of positions: Total 4 GTM Take Home Wage: (USD)22 hourly Max mark up = 45% making our max bill rate (USD)*** Length of Contract: 4 months - likely no conversion available Location: Fully Remote (excluding California-we cannot hire in CA at this time) Schedule: Full time, Monday- Friday 8 am - 4:30 pm PST (30 minute clocked out lunch) Start date: ~June 8th, 2025 (~2-3 weeks after interview if offered position) ESSENTIAL DUTIES AND RESPONSIBILITIES: • Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on secondary to Medicare insurance claims; Actions include but are not limited to remit and EOB review, calling payer(s) and clinics, rebilling claims, navigating payer portals, and taking adjustments in the billing system • Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayments and follow appropriate documented policy and procedure to remediate • Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of secondary to Medicare claims • Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims • Stay current on communication relating to healthcare reimbursement and regulatory changes • Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives • Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude • Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and *** policies • Consistent and punctual attendance as scheduled is an essential responsibility of this position
Skills:
Required: • High school diploma or equivalent (GED) • Proficiency in Microsoft office tools such as Outlook, Word, PowerPoint, Excel, and OneNote • Excellent and demonstrated written and verbal communication skills • Computer competency; typing, basic computer troubleshooting, and navigation • Ability to problem solve and critically think root cause analysis Preferred Qualifications: • Healthcare experience; insurance or revenue cycle is a plus! • Insurance claim collections experience