Job description

Do you have 2+ years of ASC revenue cycle experience OR orthopedic billing & collections experience?

Are you looking for an incredible opportunity to work in an environment where we have more fun than we probably should?

Ideal experience: Full revenue cycle including A/R, Medical Billing, and Payment Posting.

What we do: Full Revenue Cycle Management for Outpatient Surgical facilities. We are the industry leader in ASC reimbursement. We navigate complex payer policies, including and understanding payment models for both contracted and non-contracted payer types, we identify payer trends and work from front end demographic capture, coding, and billing to back-end EOB analysis, cash applications, insurance, and patient collections.

What we offer: Nonhospital/clinic setting. Full time position with benefits. Training. Fun, upbeat, positive, energetic workplace.

Accounts Receivable Specialist daily duties will include the following:

• Timely follow-up of all unpaid/denied claims with insurance carriers
• Must have knowledge of ASC billing and coding. Out of network billing experience helpful
• Reviewing & working incoming correspondence including refund requests
• Sending appeals when appropriate or providing medical documentation for medical necessity
• Reviewing patient balances and resolving patient billing issues
• Verify insurance payments for accuracy and compliance with contract discount
• Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCD’s) for claim resolution
• Negotiate payment amounts for procedures with out of network providers
• Post payments for assigned centers as needed
• Manage the process relating to overdue insurance and patient accounts, collections and/or write-offs
• Generate professional written and verbal communication with clients and patients

Requirements

• 2+ years ASC revenue cycle OR orthopedic billing & collections experience.
• High School Diploma or equivalent.
• Ability to read and interpret insurance explanations of benefits and managed care contracts.
• Must communicate effectively, both verbally and in writing, with internal and external clients.
• Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines
• Knowledge or experience working with a variety of health care insurance payers is preferred
• Intermediate computer proficiency in Microsoft Office

NOTE: This is only a Remote Position if you are not within reasonable travel distance to our Dallas, TX, Tampa, FL or Sioux Falls, SD office. ASC facility billing experience is required to work remotely.

Job Type: Full-time

Pay: $18.00 - $21.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• How many years of ASC experience do you have?
• Please list the types of outpatient surgical center claims for the Facility side you have handled (i.e. ortho, pain mgmt, podiatry, etc)

Work Location: Remote

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