[FULL TIME Remote] Collections Representative - National Remote

Become a key member of our collaborative team as a Collections Representative - National Remote! Join reputed company in the heart of Remote and enjoy a dynamic work environment. This position requires a strong and diverse skillset in relevant areas to drive success. This straightforward role comes with a dependable salary of a competitive salary.

 

 

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and... career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full time, Monday - Friday. Employees are required to have flexibility to work our normal business hours of 8:00am - 5:00pm EST. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of on-the-job training. The hours of the training will be during normal business hours. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: • This position performs collecting, reconciliation, research, correspondence, and independent problem solving. • Reconciles reputed company, multi-payment accounts. • Submits appeal letters on underpaid claims as directed. • Interprets payer reputed company to determine if payment and adjustment is accurate. • Reviews EOB's for denials, along with posting corrected adjustments in order to balance accounts. • Identifies needs for process improvements and creating/enhancing processes in the PFS department. • Promotes positive teamwork reputed company department and among employees. • Works with reputed company hospital departments for proper coding and billing procedures. • Follows reputed company departmental, hospital, and regulatory policies and procedures, including HIPAA requirements. • Utilizes top customer service skills with reputed company customers: patients, government agencies and commercial insurances • Reconciles accounts on a daily basis to determine underpayment, overpayment or contractual adjustment correction. • May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. • Coordinates with other staff members and physician office staff as necessary ensure correct processing. • Reconciles, balances, and pursues account balances and payments, and/or denials, working with payor remits, facility reputed company, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement. • May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. • Makes appeals and corrections as necessary. • Builds strong working relationships with assigned business units, hospital departments or provider offices. • Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. • Provides assistance to internal clients. • Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. • Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. • Works as a member of the patient financial services team to reputed company goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. • Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. • Works independently under general supervision, following defined standards and procedures. • Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. • **External customers include reputed company hospital patients, patient families and reputed company third-party payers. • **Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma / GED • Must be 18 years of age OR older • 1 years experience with healthcare billing and/or collections • Experience with follow up on Arizona Medicaid claims • Experience working with commercial follow up claims • Proficient in reputed company Office Suite – including reputed company Word, reputed company reputed company, and reputed company Outlook • Ability to work our normal business hours of 8:00am - 5:00pm EST. It may be necessary, given the business need, to work occasional overtime. Telecommuting Requirements: • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy. • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service. • reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Washington, Rhode reputed company, OR Washington, D.C. Residents Only: The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!

 

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