Accounts Recovery Specialist (Facility)

Revenue Cycle Management

is looking for an Accounts Recovery Specialist to join our team!

Remote opportunity after 30-90 days of on-site training

SUMMARY
The Accounts Recovery Specialist is responsible for providing medical collection services for Hospital systems and all associated Surgery Centers. Performing collection activities related to follow-up, account resolution and communication to patients, offsite associates, reimbursement vendors, and other external entities. This position utilizes a strong background in medical collection to successfully resolve accounts for collection. Associates in the collection units are expected to maintain knowledge of the overall collection work processes for both active AR and BD inventory. In addition, maintaining Patient and Physician satisfaction while adhering to all physician, state and federal guidelines.

ESSENTIAL FUNCTIONS

Ensures daily productivity standards are met

Communicates and/or negotiates problematic accounts

Contacts providers for verification of patient records

Uploads and maintains data using 3rd party portal accounts such as Availity

Fulfills internal and external requests for outcome data, including developing special reports

Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards

Provides effective collection services, ensuring the successful recovery of accounts in accordance with state guidelines as well as Premier Medical Resources and Townsen Memorial Hospital business objectives

Documents and updates patient account information in Recovery Cycle Management collection software system timely and accurately to include appropriate account status

Ensures all documentation is accurate and compliant with federal laws in terms of composition

Handles inbound and outbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and requests

Performs research and analysis of account issues and strives to resolve problems timely and accurately

Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families

Reviews payment denials, underpayments, and payment take backs for appropriateness and guides resolution by resubmission to the insurance carrier, patient billing, or appropriate adjustment

Protects patient and family privacy rights and maintains confidentiality of patient records in accordance with policy, procedure and HIPAA requirements

Other duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES

General knowledge of Revenue Cycle account recovery accounts

Knowledge of health insurance claims, billing, collection and resolution

Solid knowledge and utilization of PC and desktop applications to include Word and Excel

Knowledge of in and out of network insurances, Workers Compensation, insurance verification, and patient responsibility

Knowledge of interpreting EOBs, posting payments, and adjusting accounts appropriately

Knowledge of ICD-10 and CPT codes and procedures

Knowledge of medical coding guidelines and regulations

Working knowledge of medical jargon and anatomy

Demonstrate task-oriented and have organizational skills

Strong attention to detail, being careful about detail and thorough in completing work tasks

Ability to work independently by guiding oneself with little or no supervision

Ability to communicate professionally with outside parties

Ability to adapt with flexibility

EDUCATION AND EXPERIENCE

High School Diploma or GED

Two (2) years of experience in medical account recovery

BENEFITS

3 Medical Plans

2 Vision Plans

Employee Assistant Program

Short- and Long-Term Disability Insurance

401(k) with a 2-year vesting

PTO + Holidays

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.

Employment for this position is contingent upon the successful completion of a background check and drug screening.

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