Description

The Account Resolution Specialist will provide excellent customer service and documentation while efficiently working guarantor unpaid or past due accounts receivables for the company.

This is a full-time position working Monday - Friday 8 : 30am - 5 : 00pm at our Bloomington location. Option to work remotely following training.

Typical training period is 3-6 months.

Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care.

This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

We have a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts and more.

Essential Functions :

• Make outbound phone calls to patients as follow up to unpaid, past due, denied or rejected billing claims and document according to current policy
• Ensure professional communication with patients over the phone, via email or other written documentation and responding to all inquiries
• Ensure professional communication with clinic personnel and outside vendors (health plan representatives, attorney offices, insurance adjusters) over the phone, via email or other written documentation
• Maintain a working knowledge of health care plan requirements and health plan networks
• Verify and document insurance information as defined by current business practices
• Other daily functions may include :
• Review Explanation of Benefits (EOB), researching denials, rejections and / or excessive reductions
• Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes
• Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
• Any and all other duties as assigned

Education and Experience Requirements :

• High School diploma / GED or equivalent
• Collections experience preferred
• Previous experience in a healthcare facility in relation accounts receivables or billing practices preferred.

Essential Requirements :

Ability to :

• Comply with company policies, procedures, practices and business ethics guidelines.
• Complete job required training.
• Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)
• Demonstrate prompt and reliable attendance
• Work in the clinic, office or surgery center during business hours
• Travel independently throughout the clinic, office or surgery center (which may include movement from floor to floor); frequent bending, lifting, standing, stooping or sitting for long periods of time may be required
• Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines
• Communicate and interact in a respectful and professional manner
• Prioritize workload while being flexible to meet the expectations of the daily operations
• Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions
• Understand and execute a variety of instructions
• Effectively operate equipment and communicate on and operate the phone system
• Work independently with minimal supervision
• Travel to other work locations, if required

Performance Expectations - Revo Health's Core Values :

• Service - Consistently contribute to deliver an exceptional experience
• Quality - Act with high purpose, committed effort, and skillful execution to exceed expectations
• Innovation - Identify progressive solutions that improve service, teamwork, efficiency, and / or effectiveness
• Teamwork - Be a part of the whole; support each other positively

Environmental Conditions :

Office / clinic / surgery center setting

Notes

Revo Health is a management services company that partners with multiple healthcare groups to deliver exceptional patient care.

This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

• Revo Health is an Equal Opportunity / Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
• This position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.

Last updated : 2024-06-04