Healthcare

Hire the right healthcare staff with speed and precision locally or nationwide.

Learn More

How to Cost-Effectively Build a Nursing Staff in an Age of Travel Nursing

Uncover alternative and sustainable staffing solutions to address nursing shortages

Read the article

Life Sciences

Hire skilled life sciences talent by partnering with a nationwide recruitment agency with local market expertise.

Current Trends in the Life Sciences Job Market

Learn how partnering with a staffing agency is a powerful way to combat the challenges of hiring in the current life sciences job market

Read the article

Technology

Execute critical healthcare IT initiatives with increased flexibility and cost-effectiveness with us at your side.

The Technology Hiring Outlook: What We're Seeing Right Now

Uncover how to handle an employee-led technology market.

read the article

For JobSeekers

Match your unique skills with in-demand jobs at growing organizations.

Learn More

Resource Center

Explore our library of insights and tips designed to help healthcare leaders and job candidates align.

Explore resources

About Us

We’re positively impacting lives as a leading provider of workforce solutions for clients and talent.

Learn More

Back to jobs

Remote Revenue Specialist

Posted: September 10, 2024
Salary:US$20 - US$23 per hour
Location:United States of America
Job type: Permanent
Discipline:Revenue Cycle
Reference:233910_1725994091
Work Location:Remote

Job description

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