Hospital AR Follow-up Specialist

About us:

Jorie Healthcare Partners, occupies a uniquely interconnected position at the center of the healthcare industry. An inseparable part of today's healthcare billing ecosystem, with leading edge technology that is driving transformation with our highly acclaimed AI infused Robotic Process Automation for end-to-end Revenue Cycle Management, providing practice and financial management services to the healthcare industry. Applied Intelligence, Better Insight, Accelerated Efficiencies with Jorie Healthcare Partners.

Our work environment includes:

Growth opportunities

Safe work environment

Cultural diversity

Collaborative company culture

Benefits:

401(k) matching up to 4%

Health

Dental

Vision

Long/Short Term Disability insurance

Life insurance $25,000 Paid by employer

PTO 2 weeks first year and increases 2nd year

10 and half Holidays

Summary:

The Hospital AR Follow-Up Specialist is responsible for the accounts receivables aspects of the client-focused revenue cycle operations and must display in-depth knowledge and execute all standards operating procedures (SOPs) as well as communicate issues, trends, concerns, and suggestions to leadership. Have a clear understanding of the whole accounting /claim life cycle of a hospital claim.

Location & Hours:

This is a remote position within the USA only

Hours may vary depending on Client Assignment but will be determined at time of hire and will be limited to an 8 hour daily schedule between the hours 7:00 AM ? 6:30 PM CST, Monday through Friday.

Title: Hospital AR Follow-Up Specialist

Responsibilities: ? Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients, and clients when appropriate. ? Analyze the trend data, recommending solutions to improve first-pass denial rates and reduce the age of overall AR. ? In-depth working knowledge of the various applications associated with the workflows i.e., Microsoft Office and Google Tools and more. Ensure all workflow items are completed within the set TAT within quality expectations. ? Able to read and understand an EOB and denials at a claim level in addition to finding trends impacting the AR. Perform other duties as assigned by the Lead. ? Understand payer contracts/fee schedules to ensure the claims have been processed accordingly. ? Knowledge of online provider portals and communicating via phone with insurance ? Escalate difficult collection situations to management in a timely manner. ? Understanding of write-offs and/or contractual adjustments accordingly while working on the accounts ? If required. ? Meeting daily/weekly and monthly targets set for an individual. ? Candidate should have good knowledge of Medicare, Medicaid & commercial payers, and their denial codes and must have knowledge of the appropriate actions that are required to be taken. ? Communicates effectively with all internal and external clients. ? Has good judgment and critical thinking skills; ability to identify and resolve problems. ? Possess a strong work ethic and a high level of professionalism with a commitment to client/patient/organization satisfaction. ? Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access, and release of information. ? Ability to interact positively and be proactive with team members, peers, and executives.

Qualifications:

Hospital AR Denials and Medical Billing Experience 3+ years

Excel and technology knowledge (Required)

Knowledge of Medicare, Medicaid & commercial payers, and their denial codes

EMR Cerner and Artiva Experience (Preferred)

Must possess the ability to enter data quickly and accurately.

Must have knowledge of Medical Terminology, CPT Codes, HCPCS, Revenue Codes, Modifiers and Diagnosis Codes

Ability to work independently and prioritize monthly workflow.

Ability to multi-task in a fast-paced environment and prioritization.

Strong time management, organizational skills and discipline to work remote

Strong verbal and written communication skills

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