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
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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
Apply today for immediate consideration.
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Seniority level
Entry level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Staffing and Recruiting
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