Remote Reimbursement Associate

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