Remote Revenue Specialist

Revenue Specialist (REMOTE ) MUST live in either CO or AZ and have CO government payer experience

Medix Healthcare

Colorado (Remote - Employee must reside in the state)

$18.50-$23.00 an hour - Full-time

Job Details

Qualifications

• 2+ Years of Healthcare Collections and Denials Experience
• Strong Colorado payer knowledge (including CO Medicaid plans)
• Comprehensive knowledge of ICD-10 coding, CPT, HCPCs and modifiers

Full Job Description

Are you looking to get a fresh start or in need of a change as a remote Healthcare Revenue Cycle Specialist? We are currently looking to add a "Revenue Specialist" Insurance to our team! We are the biggest healthcare laboratory organization within the states of Arizona and Colorado with the projection of continuous growth. Apply to get your name in the mix!

Requirements

Summary: This position coordinates and facilitates all insurance claim submissions, claim rejections, account refunds, complex adjustments and collection activities. Also responsible for the posting of denial and non-payment Explanation of Benefits. The position will also participate in the review of all system set up requirements, billing guide-lines and fee reimbursements.

Essential Duties and Responsibilities: Include the following, other duties may be assigned.

As a Revenue Specialist, you will...

• Responsible for the collection, submission and claim rejections for all assigned insurance accounts.
• Ensures all insurance payments and adjustments are posted in an accurate and timely manner in accordance with departmental policies, procedures and performance goals.
• Responsible for utilizing the Accounts Receivable Aging Reports, to track and maintain balances within acceptable range prescribed by management.
• Ensures all assigned insurance, regulatory and patient correspondence is researched, resolved and responded to in a timely, accurate and professional manner as defined in departmental policies and procedures.
• Communicates with insurance company personnel as needed to help facilitate the resolution of outstanding payment issues.
• Ensures that internal audits and quality controls are in place in accordance with departmental policies, procedures, generally accepted accounting practices and all applicable laws and regulations.
• Interprets and resolves written and phone correspondence involving bill transfers, adjustments, credit balances and refunds to facilitate prompt and accurate payments.
• Understands and implements the contractual requirements for billing to, and collecting from, assigned insurance carrier(s).
• Identifies and collaborates on improvements that can be made in the process of handling the insurance reimbursements area.
• Other duties may be assigned.

Expectations of Performance: The employee in this role shall be considered to be performing in an acceptable manner when carrying out the Core Values:

• Detail Oriented
• Self Starter
• Independent
• Driven

Education and/or Experience:

• 2+ Years of Healthcare Collections and Denials Experience
• Strong Colorado payer knowledge (including CO Medicaid plans)
• Comprehensive knowledge of ICD-10 coding, CPT, HCPCs and modifiers

Computer Skills: To perform this job successfully, an individual should have knowledge of basic office equipment such as: "EMR '' (electronic medical record system) NextGen, computer, internet, email, copy and fax machines, and telephone.

Work Environment: This position is fully remote with equipment provided. Employees MUST have stable and reliable wifi, in addition to a professional setup (at home) working environment in compliance with HIPAA and no distractions. Employees must reside in the State of Colorado OR have CO Medicaid and Medicare experience.

Job Type: Full-time

Pay: $18.50-$21.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• M-F, employee chooses start time between 6am-9am (8-hour shift)

Benefits:

• Health Benefits - We offer medical, dental, and vision to our talent.
• Retirement Benefits - We offer a 401K program to talent once they have been working for a minimum of 6 months. The 2 enrollment dates are 1/1 and 7/1 - enrollment can only occur on those dates.
• Paid Sick Leave - Talent may accrue up to 10 days annually at an accrual rate of 1 hour for every 30 hours worked

Application Deadline: 9/20/24