Remote Reimbursement Associate

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BAYADA

πŸ“Remote - United States

Job highlights

Summary

Join BAYADA Home Health Care as a Healthcare Medical Collections Associate to work remotely and make a difference in people's lives while growing your career.

Requirements

  • Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability
  • Degree preferred (combination of education and experience may be used in lieu of degree)
  • Minimum of one (1) year experience with Healthcare collections/accounts receivable experience
  • Must have collections experience
  • Experience with HCHB highly preferred
  • Intermediate experience with Microsoft Excel
  • Demonstrated record of strong interpersonal skills
  • Demonstrated record of goal achievement
  • Prior health care and home care experience is a plus
  • Competence in basic PC skills required to perform job functions

Responsibilities

  • Manage a dedicated accounts receivable for select payor organizations, external business or clients ensuring timely payment
  • Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims from denying
  • Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities
  • Complete administrative appeals and escalation of outstanding claim issues with payor organizations
  • Communication of accounts receivable status with internal customers within service office locations providing status updates with outstanding A/R, bad debt risk and requests needed to secure payment from a client or payor organization
  • Coordinate requests for additional data or workflow between internal revenue cycle departments to allow for claim payment
  • Communicate and escalate accounts receivable trends with immediate supervisor, director and management teams to ensure timely and compliant payment for services
  • Review, document and communicate any claim processing or related changes initiated by payor organizations
  • Work within multiple practice management systems, claim clearinghouse solutions and payor websites to conduct research and complete necessary workflow
  • Ability to met/exceed established performance goals

Benefits

  • Paid holidays, vacation and sick leave
  • Vision, dental and medical health plans
  • Employer paid life insurance
  • 401k with company match
  • Direct deposit
  • Employee assistance program

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