What are the responsibilities and job description for the Negotiations and Repricing Specialist position at NANA Healthcare Management, LLC?
Job Description:
The Negotiations and Repricing Specialist is a vital member of the MYMB Care component of the System of Care. The Negotiations and Repricing Specialist is under the supervision of the Revenue Cycle Manager. The Negotiations and Repricing Specialist is responsible for collections of outstanding account receivable dollars from the existing client base and all other aspects of collections, resolving customer billing problems and reducing account receivables.
Pay: $17-$18/hour
Schedule: In Office M-F 8:30am - 5pm
Type: Full-time
Education:
Experience:
Knowledge And Training Required at Time of Hire:
The Negotiations and Repricing Specialist is a vital member of the MYMB Care component of the System of Care. The Negotiations and Repricing Specialist is under the supervision of the Revenue Cycle Manager. The Negotiations and Repricing Specialist is responsible for collections of outstanding account receivable dollars from the existing client base and all other aspects of collections, resolving customer billing problems and reducing account receivables.
Pay: $17-$18/hour
Schedule: In Office M-F 8:30am - 5pm
Type: Full-time
Education:
- High School Diploma/GED – AA degree preferred.
- Current (five-years) of no felonies or substance abuse convictions.
Experience:
- Must have two-years of continuous sobriety prior to hire, if a recovering alcoholic or drug addict and participate in a self-help program.
- Knowledge of insurance submittals procedures and medical forms and coding.
- Minimum of 3 years of collections experience in the healthcare field; preferably in the mental health and substance abuse field.
Knowledge And Training Required at Time of Hire:
- Attention to detail and organization a must
- Adhere to Confidentiality requirements as outlined in 42 CFR, Part 2
- Computer literate with experience in a Windows environment.
- Ability to work independently with minimal supervision
Responsibilities:
- Thorough Identification and resolution of problematic claims issues
- Resubmission of claims to insurance payers for payment and/or adjustment
- Review of accounts based on insurance payer and services provided to patients to determine accurate contractual payment amounts.
- Resolve client-billing problems and rescue accounts receivable delinquency, applying good customer service in a timely manner.
- Collect customer payments in accordance with payment due dates
- Review and monitor assigned accounts and all applicable collection reports.
- Provide timely follow-up on payment arrangements.
- Mail correspondence to customers to encourage payment of delinquent accounts.
- Fax documents to client accounts for effective follow up.
- Performs other duties assigned.
Why You Should Join Our Team:
- Paid training
- Health insurance offered after 90 days
- Accrued PTO offered after 90 days
- Dental, vision, life insurance offered after 90 days
- Opportunity to grow into a leadership role
- Bonus structure after 90 days
Salary : $17 - $18
