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Account Resolution Specialist - Golden Valley, United States - Revo Health
Description
The Account Resolution Specialist will provide excellent customer service and documentation while efficiently working guarantor unpaid or past due accounts receivables for the company.
Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.
We have a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts and more.
Essential Functions:
Make outbound phone calls to patients as follow up to unpaid, past due, denied or rejected billing claims and document according to current policy
Ensure professional communication with patients over the phone, via email or other written documentation and responding to all inquiries
Ensure professional communication with clinic personnel and outside vendors (health plan representatives, attorney offices, insurance adjusters) over the phone, via email or other written documentation
Maintain a working knowledge of health care plan requirements and health plan networks
Verify and document insurance information as defined by current business practices
Other daily functions may include:
Review Explanation of Benefits (EOB), researching denials, rejections and/or excessive reductions
Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes
Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
Any and all other duties as assigned
Education and Experience Requirements:
High School diploma/GED or equivalent
Collections experience preferred
Previous experience in a healthcare facility in relation accounts receivables or billing practices preferred.
Essential Requirements:
Ability to:
Comply with company policies, procedures, practices and business ethics guidelines.
Complete job required training.
Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)
Demonstrate prompt and reliable attendance
Work in the clinic, office or surgery center during business hours
Travel independently throughout the clinic, office or surgery center (which may include movement from floor to floor); frequent bending, lifting, standing, stooping or sitting for long periods of time may be required
Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines
Communicate and interact in a respectful and professional manner
Prioritize workload while being flexible to meet the expectations of the daily operations
Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions
Understand and execute a variety of instructions
Effectively operate equipment and communicate on and operate the phone system
Work independently with minimal supervision
Travel to other work locations, if required
Performance Expectations - Revo Health's
Core Values:
Integrity - Do the right thing and take responsibility for what you do and say
Service - Consistently contribute to deliver an exceptional experience
Quality - Act with high purpose, committed effort, and skillful execution to exceed expectations
Innovation - Identify progressive solutions that improve service, teamwork, efficiency, and/or effectiveness
Teamwork - Be a part of the whole; support each other positively
Environmental Conditions:
Office/clinic/surgery center setting
Notes
Revo Health is a management services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.
Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
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