Job Details

Responsible for managing patient account staff in processing accounts and working with designated payers to ensure proper reimbursement. Ownership of assigned Payer AR and all activities required to identify underpayments and prepare accounts for escalation to the payers in order to drive account resolution. Resolve claims in a timely manner by completing appeals as needed or driving materials and accounts through the Plan Manager to the Payer. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Manages the aging of accounts receivable by trending and analyzing the A/ R, and through communication with the payers/managers. Monitors collection processes to determine cash flow improvement opportunities. In depth knowledge of applicable contracts. Continual QA and analysis of underpayment risk areas to ensure audit accuracy. Ensure compliance with state and federal laws and regulations. Maintains a thorough understanding of health insurance and govern...Specialist, Revenue, Cycle, Healthcare, Remote, Insurance