Revenue Cycle Associate - Palm Springs, FL on-site

Revenue Cycle Associate – Palm Springs, FL

Warrior Service Company provides Durable Medical Equipment (DME), Mobility, and Access services from the Dept. of VA and servicing Veterans in different parts of the country, providing Home Medical Equipment (HME) and Services consisting of all types of DME, Home Oxygen Services, Sales and Repairs of Complex Rehab Power Mobility Devices to the Department of VA and other Federal Agencies.

In this role you will:

This position is responsible for assuring timely collection of accounts receivable, monitoring account activity and providing adequate follow up to ensure maximum reimbursement is received. The ideal candidate would have a strong understanding of medical claims billing.

• Research and resolve claims denials using the appropriate resources
• Check that pre-bill claims are passing internal edits in a timely fashion
• Monitor that all denied claims are corrected or appealed
• Collaborate with other teams within the business office
• Provide appropriate feedback to management
• Non-micromanagement and high responsibility

Key Responsibilities:

• Performing collection activities, such as status calls to ensure timely reimbursement, appeals and account review
• Review, Follow Up, and Appeal denied claims according to standards
• Determine accuracy of Insurance payments and follow up on discrepancies
• Initiate, Follow Up, and Respond on payer reimbursement issues
• Communicate with Practices and Payers regarding claim denials and payer trends
• Analysis and Quality Review of work completed by third parties
• Build and generate reports, as needed
• Ensuring appropriate information is submitted to insurance companies to expedite payment
• Take appropriate follow up actions on accounts to ensure claims are paid on the first follow-up call or appeal
• Determine that appropriate information is submitted to insurance companies to expedite payment
• Following up on assigned cases from within the organization
• Reviewing pre-bill claim holds to verify that the claim goes out clean the first time
• Composing appeals to insurance carriers for denied claims
• Handle incoming calls for information request from insurance companies within 24 hours
• Corrects accounts that are billed to incorrect insurance companies.
• Ensures authorizations are attached to claims
• Communicating with the lead, supervisor, and team to advise of trends, issues discovered
• All other duties as assigned

Qualifications:

• High school diploma or equivalent; post-secondary degree preferred
• Minimum of 2 years current experience interpreting insurance explanation of benefits, benefit plans; policy coverage and patient responsibility
• Minimum of 2 years current experience working with medical claims, billing, collections, and appeals
• Experience working with healthcare practice management systems
• Experience working with cloud-based Customer Relationship Management (CRM) technology (Salesforce preferred)
• Experience in Microsoft Office with proficiency in Microsoft Excel
• Excellent verbal and written communication skills with internal and external customers
• Ability to collaborate effectively in a cross-functional team environment
• Experience and knowledge with financial and billing systems including SALESFORCE, AUTHORIZE.NET (MERCHANT SYSTEM), DME SCRIPTS, EXCEL, WORD
• Working knowledge of Medical Billing & Coding required
• Working knowledge of QuickBooks for transaction reconciliation
• Experience with invoice auditing required
• Experience with compliance and accuracy in billing workflows, assist with DME (durable medical equipment) billing, and monitor subcontractor equipment processes,
• Strong attention to detail; strong organizational skills; strong analytical skills
• Outside of the box thinker
• Self-motivator
• Work passionate in a medical setting
• Identifying data trends and problem-solving skills
• Ability to keep pace in a fast-moving work environment
• Ability to pass a Background Check

Pay:

• $22-$24 per hour

Job Type:

• Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Vision insurance
• Relocation Assistance

Schedule:

• 8-hour shift
• Monday to Friday 8a to 4:30p

Shift availability:

• Day Shift (Required)

Work Location:

• Corporate Office in Palm Springs, FL