AR Resolution Associate

 Posted 6 hours ago
     
2-5 years experience
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AI Summary

The AR Resolution Associate is responsible for following up with commercial and governmental payers to resolve claim issues and secure timely reimbursement. They will analyze denials, draft appeals, and collaborate with management to address root causes of payment delays.

Lumexa Imaging is one of the country's largest providers of outpatient medical imaging. With over 5,000 team members and more than 185 outpatient imaging centers across 13 states, our team conducts more than 4 million outpatient studies annually. We are the partner of choice for health systems and radiologists, delivering best-in-class clinical excellence, operations, and state-of-the-art technology across our platform.

Lumexa Imaging is looking for an AR Resolution Associate to join our Revenue Cycle Management Team.

 

Location: Remote 

Hours: Monday-Friday 8am-5pm

 

We would love for you to join our Revenue Cycle Management team!

This position is fully remote. We offer a competitive base pay and comprehensive benefits program including Medical, Dental, Vision, Flexible Spending Accounts, Telehealth, Life, Disability, Employee Assistance Program and 401k Retirement Savings. There is also the opportunity for quarterly bonuses.

As an Accounts receivable (AR) Specialist, you will be responsible for following up directly with commercial and governmental payers to resolve claim issues and secure appropriate and timely reimbursement. Identifies and analyzes denials and takes action to resolve account including drafting and submitting appeals. You will share in the US Radiology mission to make radiology better to improve lives.

Job Responsibilities:

  • Examines unpaid and denied claims to determine reason for discrepancies.
  • Communicates directly with payers to follow up on outstanding claims, file appeals and ensure timely reimbursement.
  • Ability to identify with specific reasons for denials and cause of payment delay.
  • Works with management to identify, trend, and address root causes of issues in the A/R.
  • Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordingly.
  • Documents activity accurately including contact names, addresses, phone numbers, and other pertinent information.
  • Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management.
  • Needs to be a strong problem solver and critical thinker to resolve accounts. Must meet productivity and quality standards.
  • Performs other duties as assigned.

Required Education:

·         High School Diploma

Knowledge, Skills and Abilities Required:

  • Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
  • Excellent Verbal skills.
  • Problem solving skills, the ability to look at account and determine a plan of action for collection.
  • Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment.
  • Adaptability to changing procedures and growing environment
  • Ability to toggle between multiple computer systems and sources of information,
  • Ability to multi-task, be detail oriented, and provide excellent customer service skills and independent worker with a problem-solving mindset


Education and Experience We Love:

  • 1-3 years of relevant experience in medical collections or professional billing preferred
  • Knowledge of claims review and analysis
  • Working knowledge of revenue cycle
  • Working knowledge of medical terminology and/or insurance claim terminology
  • Experience working in Imagine billing system preferred

#PACESJ

 

Lumexa Imaging provides a competitive compensation program to attract, retain, and motivate a high-performance workforce.
 

Lumexa Imaging is an equal opportunity employer.

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