Connect America
Revenue Cycle Resolution Specialist- REMOTE
This job is now closed
Job Description
- Req#: 503070
- Recognized as one of Philly Happening’s Best Places to Work
- Award-winning customer service team with the Best Service Award from Today’s Caregiver
- Named a Top Ten Home Healthcare Solutions Provider multiple years in a row
- Ensure all accounts with accounts receivables over 60 days have a pending resolution and/or resolution before claims reach the 180-day transactional RCM system date and/or filing limit
- Follow up on all assigned Rejected claims within the RCM Clearing house
- Understand and perform research of all historical data with accounts assigned to you
- Make any adjustments, resubmittals, appeals and/or credits on claims for any given Client and/or Payer
- Being confident to act when speaking to an account within Leadership guidelines to resolve past due balances and/or issues
- Ensure all unapplied payments/credits on accounts are posted correctly prior to closing of Month End
- Process Payer Changes and/or terminations within the Retention process
- Assist with processing credit card and direct debit charges as needed
- Communicate in a highly professional manner and nurture a healthy relationship with Clients and/or Payer accounts
- Generate weekly reports to Leadership on collection activity, claim statuses such as payments, resubmitted claims, appeals, credits, and escalations needed etc.
- Working as a Team member, assisting others as needed
- 6 months of billing, finance, or accounting experience (insurance preferred)
- 1 year of Billing, Diagnosis Coding college coursework or equivalent work experience
- Exceptional organizational and time management / prioritization skills
- Skilled at problem solving
- Skilled at verbal and written communication, including knowledge of email etiquette
- Basic knowledge of billing concepts such as reconciliation, posting, deposits, debits, and
- Demonstrated attention to detail
- Willingness to work as part of a collaborative team, but also independently accomplish tasks
- Understand HIPAA and privacy regulations
About the company
Our connected health solutions, including remote patient monitoring (RPM), personal emergency response systems (PERS) and medication management devices, allow patients to better manage their health from home.
Join Connect America - Empowering Lives, One Call at a TimeAbout Us:
Connect America and our family of brands, including Lifeline, have helped aging individuals and at-risk populations live safely and independently in their homes for more than 40 years. As North America’s largest independent provider of connected care, we deliver a growing portfolio of innovative technologies that help bridge the gap between healthcare providers, individuals, and their care partners. Our easy-to-use solutions support health and safety in a way that leads to enhanced quality of life, earlier interventions, reduced hospitalizations, and peace of mind for an estimated 10 million lives every year. Together, we are enabling independence and redefining the global home healthcare market.
Why Connect America:
Our Values:
At Connect America, we treat all our customers and team members ethically and respectfully, creating relationships built on trust. We work as supportive team members, developing customer solutions in a collaborative manner. If you are a dedicated, compassionate team player, come be a part of an organization that makes a positive difference in the lives of those we serve.
Our headquarters are located close to the city of Philadelphia, in Bala Cynwyd, PA. Learn more at www.connectamerica.com.
Job Function:
Resolution of all unresolved Portal and EDI assigned accounts receivable. Increase cash collection, ensuring all claims are submitted and/or resubmitted within the initial and total filing limit. Processing appeals as needed. Keeping open communication, troubleshoot and resolve open balances while managing a healthy relationship with our Clients and Payers.
Responsibilities:
Position Requirements:
credits
Demonstrate ethical business practices