What are the responsibilities and job description for the Remote AR Recovery Specialist (Denials) position at Prestige Staffing?
JobID: 48359
Remote Hospital AR Recovery Rep (EST or CST)
Prestige Staffing is searching for remote hospital Recovery Specialists for a long term project that could last up to 2 years. This role will be Monday - Friday normal business hours and equipment must be provided by the contractor.
Pay:$18/hr.
Hours: Monday - Friday, 8am or 9am start (8 hours)
Duration: Long term contract
Duties
Learn and understand our Accounts Receivable Optimizer platform and the various resources available
Requirements
#zr-rep
Remote Hospital AR Recovery Rep (EST or CST)
Prestige Staffing is searching for remote hospital Recovery Specialists for a long term project that could last up to 2 years. This role will be Monday - Friday normal business hours and equipment must be provided by the contractor.
Pay:$18/hr.
Hours: Monday - Friday, 8am or 9am start (8 hours)
Duration: Long term contract
Duties
Learn and understand our Accounts Receivable Optimizer platform and the various resources available
- Work an assigned number of accounts from start to finish successfully, and in a timely manner
- Call healthcare insurance companies, their affiliates & providers to resolve any question about contract or payment issues
- Analyze contract, billing, cash costing, pricing, and collections on accounts in compliance with billing regulations, policies, and procedures
- Investigate all insurance payments that deviate from expected payment
- Work collaboratively with leadership and other team members to confirm, challenge, or provide
Requirements
- High School Diploma, GED required, Associate degree preferred
- 1.5 years of experience in UB-04 Follow-Up and/or Contract/Reimbursement Analysis, including investigation of both pricing and reimbursement variances
- Detailed knowledge of Facility Reimbursement contracts, fee schedules, reimbursement procedures
- Advanced MS Excel skills
- Detailed understanding of insurance follow-up (i.e., resolving non-paid, denied, under-paid, and rejected claims) for healthcare providers
- Experience in UB04 Facility Pricing and Reimbursement variance
- Good understanding of revenue cycle
- Basic understanding of HIT systems like EPIC, Paragon, Zirmed, or other billing systems
- Problem solving / superior analytical skills
- An organized and detail-oriented aptitude
- Able to pass a criminal background check
- Knowledge of all payors (government, commercial, etc.) helpful
#zr-rep
Salary : $18
