Remote Reimbursement Associate
BAYADA
πRemote - United States
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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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