RhythMedix, Inc.
Collections Reimbursement Specialist
RhythMedix, Inc., Mount Laurel, New Jersey, United States
Collections Reimbursement Specialist
Professional Corporate Office, Mount Laurel Township, NJ, US
Salary Range: $21.00 To $25.00 Hourly
PRIMARY RESPONSIBILITIES:
Run and review aging accounts receivable reports
Identify and report payer denial trends and resolve outstanding accounts receivable; shares payer trending data with internal departments to ensure a reduction in the number of denials
Responsible for timely insurance denial, appeal and claim follow up activities to maximize collection efforts and reviews collection worklists
Ensure timely follow up on all patient and insurance refund requests and credit balances
Recommend and complete account adjustments, where appropriate
Identifies insurance contract opportunities/requirements and communicates to the Payor Relations department
Answer and respond to telephone, email, and faxed inquiries from internal and external customers, which include clients, patients, and insurance carriers, while providing excellent customer service
Analyzes and determines accounts to transfer to External Agency for collection
Accepts and negotiates payment arrangements and contacts patient(s) regarding missed payments
Assist with obtaining prior authorizations
Provide patient balance estimates and verify insurance for all payers, including Medicare, Medicaid, and commercial insurances
Identifies underpayments and overpayments made by third-party payers while monitoring credit balance report
Processes patient financial hardship applications and reviews requests for account adjustments
Process, sort, and direct incoming and outgoing mail to the appropriate teams and departments
Maintain patient accounts by appropriately notating, updating, and collecting patient demographic, and insurance information
Request medical records and other patient information, when appropriate
Provides management team with immediate feedback on issues affecting workflow, reimbursement, and customer service
Attend staff meetings and report on monthly performance and activities
Adheres to appropriate quality control, confidentiality, and HIPAA guidelines
QUALIFICATIONS, SKILLS & COMPETENCIES:
5 + years of Medical Accounts Receivable, Medical Billing, Customer Service, Denial Management and Collections experience
Previous experience with medical claims processing, insurance verification, medical records and insurance terminology
Competency with Windows PC Applications, including strong Microsoft Word and Microsoft Excel skills
Strong keyboard and navigation skills and ability to learn new computer skills & applications
Proven ability to collect and resolve aging accounts receivable balances
Equipped to handle multiple tasks, accurately process high volumes of work, prioritize work and manage time effectively to meet deadlines
Capable of making decisions and solving problems using established departmental standard operating procedures and guidelines with limited supervision
Demonstrated effective and appropriate communication styles and interpersonal skills that promote positive and professional working relationships with peers and management team
Ability to assist with and adapt to departmental and / or company procedural changes
Able to work a 40-hour schedule within the operating hours of the department, 8 AM to 9:30 AM start time and ending 5:00 PM to 6:30 PM
As this is a hybrid position, must be able to commute to headquarters in Mount Laurel, NJ
It may be necessary, based on business and departmental need, to work occasional overtime and/or weekends.
Telecommute work possible, subject to business environmental conditions
BENEFITS:
Competitive salary and bonus structure
Health, dental and vision insurance as well as other ancillary benefits
Retirement savings plan – 401(k) – with company match
Paid time off (PTO) and holidays
Professional development and training opportunities
Employee wellness programs
EEO STATEMENT:
RMX Monitoring, LLC. is an equal opportunity employer who openly supports and fully commits to recruitment, selection, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, and/or local laws. Inclusion and diversity amongst our teams is essential to our success.
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Salary Range: $21.00 To $25.00 Hourly
PRIMARY RESPONSIBILITIES:
Run and review aging accounts receivable reports
Identify and report payer denial trends and resolve outstanding accounts receivable; shares payer trending data with internal departments to ensure a reduction in the number of denials
Responsible for timely insurance denial, appeal and claim follow up activities to maximize collection efforts and reviews collection worklists
Ensure timely follow up on all patient and insurance refund requests and credit balances
Recommend and complete account adjustments, where appropriate
Identifies insurance contract opportunities/requirements and communicates to the Payor Relations department
Answer and respond to telephone, email, and faxed inquiries from internal and external customers, which include clients, patients, and insurance carriers, while providing excellent customer service
Analyzes and determines accounts to transfer to External Agency for collection
Accepts and negotiates payment arrangements and contacts patient(s) regarding missed payments
Assist with obtaining prior authorizations
Provide patient balance estimates and verify insurance for all payers, including Medicare, Medicaid, and commercial insurances
Identifies underpayments and overpayments made by third-party payers while monitoring credit balance report
Processes patient financial hardship applications and reviews requests for account adjustments
Process, sort, and direct incoming and outgoing mail to the appropriate teams and departments
Maintain patient accounts by appropriately notating, updating, and collecting patient demographic, and insurance information
Request medical records and other patient information, when appropriate
Provides management team with immediate feedback on issues affecting workflow, reimbursement, and customer service
Attend staff meetings and report on monthly performance and activities
Adheres to appropriate quality control, confidentiality, and HIPAA guidelines
QUALIFICATIONS, SKILLS & COMPETENCIES:
5 + years of Medical Accounts Receivable, Medical Billing, Customer Service, Denial Management and Collections experience
Previous experience with medical claims processing, insurance verification, medical records and insurance terminology
Competency with Windows PC Applications, including strong Microsoft Word and Microsoft Excel skills
Strong keyboard and navigation skills and ability to learn new computer skills & applications
Proven ability to collect and resolve aging accounts receivable balances
Equipped to handle multiple tasks, accurately process high volumes of work, prioritize work and manage time effectively to meet deadlines
Capable of making decisions and solving problems using established departmental standard operating procedures and guidelines with limited supervision
Demonstrated effective and appropriate communication styles and interpersonal skills that promote positive and professional working relationships with peers and management team
Ability to assist with and adapt to departmental and / or company procedural changes
Able to work a 40-hour schedule within the operating hours of the department, 8 AM to 9:30 AM start time and ending 5:00 PM to 6:30 PM
As this is a hybrid position, must be able to commute to headquarters in Mount Laurel, NJ
It may be necessary, based on business and departmental need, to work occasional overtime and/or weekends.
Telecommute work possible, subject to business environmental conditions
BENEFITS:
Competitive salary and bonus structure
Health, dental and vision insurance as well as other ancillary benefits
Retirement savings plan – 401(k) – with company match
Paid time off (PTO) and holidays
Professional development and training opportunities
Employee wellness programs
EEO STATEMENT:
RMX Monitoring, LLC. is an equal opportunity employer who openly supports and fully commits to recruitment, selection, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, and/or local laws. Inclusion and diversity amongst our teams is essential to our success.
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