Accounts Receivable, Accounts Receivable Management, Billing, Call Volume, Claims Processing, Communication Skills, Computer Skills, Customer Escalations, Customer/Client Research, Dental Insurance, Detail Oriented, Financial Trend Analysis, High School Diploma, Hospital, Identify Issues, Information/Data Security (InfoSec), Insurance, Insurance Claims, Interpersonal Skills, Lift/Move 35 Pounds, Medical Billing, Metrics, Microsoft Office, Microsoft Outlook, Organizational Skills, People Management, Physical Demands, Presentation/Verbal Skills, Problem Solving Skills, Quality Metrics, Research Skills, Set Goals, Time Management, Vision Plan, Writing Skills
Claims Resolution Specialist
Starting at $18.50 per hour
ON-SITE
Do you enjoy puzzles and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted.
We offer an exceptional employee experience, full-time hours, full benefits, paid training, and advancement opportunities. Our team offers flexible, first shift, Monday through Friday schedules. This would include two fifteen-minute breaks and one half-hour lunch. We allow for casual work attire; jeans are our norm!
Multitasking during the day
- Role involves outbound call activity on a daily basis, including reaching out to insurance companies and patients
- Responsible for following up on escalated cases on high-dollar accounts, completing research, resolving outstanding issues, and providing callbacks
- Handles account research and insurance inquiries, including gathering information and asking detailed questions
- Candidates should expect to be on the phone consistently throughout the day, regardless of inbound call volume
Responsibilities:
- Investigate and follow-up on all open balances for accounts that have received a payment or denial, or that are greater than 30 days from billing. Contact responsible party to establish reason for non-payment document in system all verbal and written communication relative to open account balance, and institute timely follow-up with responsible party as a result of last contact to assure progress in resolving account with payment.
- Maintain consistent, productive, and timely follow-up, as often as is needed to collect on the account. Time between account follow up is not to exceed 30 days.
- Maintain a productivity of 20 to 25 accounts per day. This is subject to change based on volume changes and operational needs.
- Make outgoing calls to patients, insurance companies and attorneys regarding claim status in order to reduce both outstanding receivables.
- Regularly communicate with hospital staff and department management on any accounts receivable issues/problematic payor trends.
- Identify and resolve issues impacting the timely collection of open receivables.
- As necessary, request account adjustments as identified via write off requests and refund requests.
- Notify database operations of changes or additions to specific payor, plan, contract, address, or other pertinent information as necessary.
- Meet the expectations and goals for productivity and collections targets as set forth by management.
- Performs other duties or special projects as assigned.
Qualifications:
Required:
- High School Diploma or Equivalent
- One year of experience (2+ years for remote candidates) within a medical billing, medical collecting or claims processing role.
Preferred:
- Computer Skills
- Microsoft Office:
- Outlook
- Excel
- Ability to work with multiple programs simultaneously.
- Good interpersonal, oral and written communication skills.
- Previous experience in metrics based role, where production/quality standards are upheld.
- Time management and organizational skills
- Proven experience with investigative research.
- Ability to work independently and as part of team to reach mutually established goals.
- Attention to detail
- Flexibility and being open to change
- This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.
Additional Data:
Your benefits as a Claims Resolution Specialist:
Select Medical strives to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
- An extensive and thorough paid orientation program.
- Paid Time Off (PTO) and Extended Illness Days (EID).
- Health, Dental, and Vision Insurance; Life insurance; Prescription coverage.
- A 401(k) retirement plan with company match.
- No Required Weekends
Working Conditions/Physical Demands:
- Office Environment
- Sitting for extended periods of time
- Ability to lift weight up to 35 lbs.
Equal Opportunity Employer/including Disabled/Veterans
S
Select Medical
Superior quality and care. Compassion and Respect. Results oriented. Teamwork. Resourcefulness. These are the core values upon which Select Medical was built. Since its founding in 1996, Select Medical has passionately focused on providing superior, patient-centered care that improves quality of life.Co-founded by Rocco Ortenzio and Robert Ortenzio, Select Medical began as a regional provider of outpatient physical rehabilitation. Contract therapy was added to the company's specialized health care offerings in 1997, and was quickly followed by the introduction of long-term acute care in 1998. In 1999, Select Medical made one of its largest acquisitions by purchasing NovaCare Physical Rehabilitation and Occupational Health. In three years, Select Medical had grown from a small start-up into a diversified health care company with a national presence. This progressive yet responsible growth was one attribute that led to the company's recognition as one of the Best Managed Companies in America by Forbes magazine.
10,000 employees or more
http://www.selectmedical.com/