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Account Resolution Specialist II - Hospital

Company: Currance
Location: Irvine
Posted on: November 24, 2022

Job Description:

At Currance, employees make the difference for our customers. We are looking for people who are dedicated, consistent, organized, and proud of the work they produce. If this describes you, we want you to join our team.
Hourly wage: $18.50 - $21.50
Hospital experience is required.
This is a remote job. We are currently hiring in AZ, CO, CA, CT, FL, GA, HI, MA, ME, MN, NV, OK, PA, SD, and TX. Candidates who meet the job minimum qualifications must complete a Spark Hire prescreen video.
Job Details


  • Monday - Friday
  • Remote
  • Paid every two weeks
  • Productivity bonuses
  • Employee referral program
  • Advancement opportunities
  • No weekends
  • Consistent and steady work schedule

    Benefits

    • Medical
    • Dental
    • Vision
    • 401K
    • Life insurance
    • Voluntary long-term disability
    • Voluntary short-term disability
    • Health savings account

      Job Overview
      Skilled revenue cycle collector. Oversee and work account receivables for hospital claims (UB04 form) to ensure client compliance. Provide great customer experience while working to collect and negotiate terms of payment on outstanding account balances. Work in a professional, customer-centered way; taking inbound calls and making outbound calls.
      Job Duties and Responsibilities

      • Submit hospital medical claims in accordance with federal, state, and payer mandated guidelines.
      • Research, analyze, and review hospital claim errors and rejections and make applicable corrections.
      • Ensure proper hospital claim submission and payment through review and correction of claim edits, errors, and denials.
      • Maintain required knowledge of payer updates and process modifications to ensure accurate claims.
      • Investigate, follow up with payers, and collect the insurance accounts receivables assigned.
      • Determine reason for non-payment and take appropriate action.
      • Escalate stalled hospital claims to manager.
      • Verify and modify hospital claims accordingly to ensure that client account sits at correct liability and balance with payer.
      • Identify any payer specific issues and communicate to team and manager.
      • Lead and contribute to daily shift briefings.
      • Comply with productivity standards while maintaining quality levels.
      • Receptive to feedback and continual performance improvement, and willingness to grow and learn.
      • Punctual, dependable, and adapt easily to change
      • Strong character by demonstrating accountability and responsibility
      • Perform work duties using ethical decision making processes.
      • Takes professional responsibility for quality and timeliness of work product.
      • Review employee scorecards daily and provide coaching to employee if not meeting key metrics.
      • Escalate employee deficiency to manager if coaching attempts have failed.
      • Research problem accounts.
      • Escalate client IPO issues to manager if not be resolved internally.

        Qualifications

        • High school diploma or equivalent
        • One year experience working at Currance as an ARS I, or 1+ years of experience working with facilities to secure insurance payments.
        • One year experience with hospital facility claims (UB-04) follow up and appeals with health insurance companies.
        • Experience with Epic preferred.
        • Proficiency with computer including Microsoft Office Suite/Teams and GoToMeeting/Zoom, etc.

          Knowledge, Skills, and Abilities

          • Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes
          • Knowledge of rules and regulations relative to Healthcare Revenue Cycle administration
          • Skilled in medical accounts investigation and validating payments.
          • Ability to make decisions and take action.
          • Ability to learn and use collaboration tools and messaging systems, and then apply.
          • Ability to maintain a positive outlook, a pleasant demeanor, a mature nature during all interactions, and act in the best interest of the organization and the client.
          • Takes professional responsibility for quality and timeliness of work product.
          • Achieves results with little oversight.
            PI196514154

Keywords: Currance, Irvine , Account Resolution Specialist II - Hospital, Healthcare , Irvine, California

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