The Accounts Recovery Specialist is responsible for providing medical collection services for hospital systems and surgery centers. They perform follow-up activities, resolve account issues, and maintain accurate patient records while adhering to federal and state guidelines.
Revenue Cycle Management is looking for an full-time Accounts Recovery Specialist to join our team!
*Remote opportunity after 30-90 days of on-site training*
SUMMARY: The Accounts Recovery Specialist is responsible for providing medical collection services for Hospital systems and all associated Surgery Centers. Performing collection activities related to follow-up, account resolution and communication to patients, offsite associates, reimbursement vendors, and other external entities. This position utilizes a strong background in medical collection to successfully resolve accounts for collection. Associates in the collection units are expected to maintain knowledge of the overall collection work processes for both active AR and BD inventory. In addition, maintaining Patient and Physician satisfaction while adhering to all physician, state and federal guidelines.
Contacts providers for verification of patient records
Uploads and maintains data using 3rd party portal accounts such Availity
Fulfills internal and external requests for outcome data, including developing special reports
Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work
standards
Provides effective collection services, ensuring the successful recovery of accounts in accordance with state
guidelines as well as Premier Medical Resources and Townsen Memorial Hospital business objectives
Documents and updates patient account information in Recovery Cycle Management collection software system
timely and accurately to include appropriate account status
Ensures all documentation is accurate and compliant with federal laws in terms of composition
Handles inbound and outbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and requests
Performs research and analysis of account issues and strives to resolve problems timely and accurately
Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families
Reviews payment denials, underpayments, and payment take backs for appropriateness and guides resolution by resubmission to the insurance carrier, patient billing, or appropriate adjustment
Protects patient and family privacy rights and maintains confidentiality of patient records in accordance with policy, procedure and HIPPA requirements
Other duties as assigned
KNOWLEDGE, SKILLS, AND ABILITIES:
General knowledge of Revenue Cycle account recovery accounts.
Knowledge of health insurance claims, billing, collection and resolution.
Solid knowledge and utilization of PC and desktop applications to include Word and Excel.
Knowledge of in and out of network insurances, Workers Compensation, insurance verification, and patient responsibility.
Knowledge of interpreting EOBs, posting payments, and adjusting accounts appropriately.
Knowledge of ICD-10 and CPT codes and procedures.
Knowledge of medical coding guidelines and regulations.
Working knowledge of medical jargon and anatomy.
Demonstrate task-oriented and have organizational skills.
Strong attention to detail, being careful about detail and thorough in completing work tasks.
Ability to work independently by guiding oneself with little or no supervision.
Ability to communicate professionally with outside parties.
Ability to adapt with flexibility.
EDUCATION AND EXPERIENCE:
High School Diploma or GED
Two (2) years of experience in medical account recovery
BENEFITS:
3 Medical Plans
2 Dental Plans
2 Vision Plans
Employee Assistant Program
Short- and Long-Term Disability Insurance
Accidental Death & Dismemberment Plan
401(k) with a 2-year vesting
PTO + Holidays
Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
Employment for this position is contingent upon the successful completion of a background check and drug screening.
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