Boost Healthcare is Hiring a Follow Up Representative - Zero Balance Near Alameda, CA
What We Do:Boost is a consulting firm focused on helping healthcare providers identify and recover revenue. Our team works with clients to improve overall revenue by recovering denied and underpaid claims from both commercial and government payers. Our retrospective claims review is contingency based with no upfront costs to our clients and utilizes our proprietary system, staff, and resources to recover revenue. Our approach leverages both technology and people, and our findings go straight to our clients’ bottom line. Boost provides our clients with claims data showing payer performance and root cause analysis of denial and underpayment issues to use as leverage when negotiating with payers and assessing their overall business performance. Who We Are:Boost Healthcare is a remote team of 70 employees located in 15 states with a nationwide clientele base lead by Liana Hamilton, founder and managing partner. Our core values are being Trustworthy, Dedicated, Valued, Resourceful and Fun. We prioritize hard work and collaboration among our teams, our clients, and the communities we serve. We place high importance on connection, including face-to-face daily interactions, and make sure to carve out time for play. Boost offers medical, dental, vision, and 401k benefits as well as a flexible schedule and stipends that cover education, wellness, and technology. We hope you join our team and grow with us. Position Summary:This position focuses on following up on claim status, denials and initiating appropriate action for outstanding claims aged 45 days or greater to resolve insurance balances. Resolving account balances includes interacting with insurance companies and agencies in resolution of unpaid balances, and other hospital billing issues. This position typically allocates 65% of its time to calls with payers gathering billing information, as well as claims and appeals status or information not available through web portals or secure email functions. A successful Follow-Up Representative will support the success of a high-volume, fast paced revenue cycle by helping to follow up on accounts in a timely manner, navigate independently through multiple applications, payer portals and other websites, express critical thinking in independent work, and demonstrate high capabilities of computer literacy when independently troubleshooting issues or working with tech support. Primary Duties and Responsibilities:
Completes appropriate actions needed for timely claims follow up and effective appeals submission including research, rebilling, adjustments, transfers to next responsible parties, and escalating payer issues to Leadership
Corresponds professionally with third party commercial insurance payers to obtain information required for effective claims resolution
Uses provided references materials to troubleshoot claims issues and increase understanding of claims resolution techniques. Reference payer websites as needed
Working knowledge of EOBs, EFTs and ERAs, patient liabilities, and insurance or third-party correspondences
Completes assigned work queues or tasks within timeframes assigned by Leadership
Communicates and collaborates well with other team members
Assists other projects, teams and staff as needed or assigned
Required Position Qualifications:
High school diploma or equivalent
Four years’ experience with billing and collections within the health care revenue cycle, including knowledge of HIPAA regulations, diagnosis and procedural codes
Ability to adapt within a high volume, fast paced revenue cycle team
Hospital Billing and/or Professional Billing experience
Ability to interpret EOBs, denials, and appeals
Ability to efficiently call insurance payers
Utilize websites and payer portals when applicable
Express critical thinking in independent work
Demonstrate high capabilities of computer literacy
Must be adaptable and able to work with a diverse team and client base
Work within deadlines while remaining flexible and organized
Excellent communication, both written, verbal and demonstrate listening skills
Ability to learn within a 100% remote environment
Secure working location with no interruptions during working hours
High proficiency with standard office equipment and software such as Microsoft Office products, knowledge of Health Information Systems, 10-key, multi-line telephone
Microsoft Office 365 – Teams, Outlook, Excel, PowerPoint etc
Compensation:
Base salary range USD $32,670 - $48,330 annually
Benefits:
Medical, dental, vision, 401k matching
3 weeks of PTO
Education and wellness stipends
Paid holidays
Performance-based bonus opportunities
Employee referral incentive
Flexible working environment
WORKING CONDITIONS:
Remote face-to-face trainings and meetings. Cameras are required
Base download/upload internet speed of at least 35Mbps - SATELLITE/HOT SPOT INTERNET IS NOT PERMITTED
Quiet, dedicated, non-shared, secure space to work
All equipment will be provided by Boost Healthcare
Must reside in AZ, FL, GA, IL, LA, MN, OH, OR, PA, SC, TX, or WA
Physical Requirements
Talking: Frequently conveying detailed or important instructions or ideas accurately, clearly, or quickly to your team, Supervisor, or insurance companies
Hearing: Able to hear average or normal conversations and receive ordinary information
Repetitive motion: Frequent and regular use of the wrists, hands, and fingers to make small movements such as typing or picking up small objects. Normal fine and gross motor control of fingers and hands
Seeing: Visual acuteness necessary for the proper evaluation of or to prepare, inspect documents or other materials. Ability to accurately view computer monitors
Boost Healthcare is an Equal Opportunity Employer. Offers of employment are contingent on successful completion of background check. Powered by JazzHR 7ZAchuycXm