Follow Up Representative - Alameda, United States - Boost Healthcare

Boost Healthcare Alameda, United States

3 weeks ago

Description

What We Do:
Boost is a consulting firm focused on helping healthcare providers identify and recover revenue. Our team works with clients to improve overall revenue by recovering denied and underpaid claims from both commercial and government payers. Our retrospective claims review is contingency based with no upfront costs to our clients and utilizes our proprietary system, staff, and resources to recover revenue. Our approach leverages both technology and people, and our findings go straight to our clients' bottom line. Boost provides our clients with claims data showing payer performance and root cause analysis of denial and underpayment issues to use as leverage when negotiating with payers and assessing their overall business performance.

Who We Are:
Boost Healthcare is a remote team of 70 employees located in 15 states with a nationwide clientele base lead by Liana Hamilton, founder and managing partner. Our core values are being Trustworthy, Dedicated, Valued, Resourceful and Fun. We prioritize hard work and collaboration among our teams, our clients, and the communities we serve. We place high importance on connection, including face-to-face daily interactions, and make sure to carve out time for play. Boost offers medical, dental, vision, and 401k benefits as well as a flexible schedule and stipends that cover education, wellness, and technology. We hope you join our team and grow with us.

Position Summary:
This position focuses on following up on claim status, denials and initiating appropriate action for outstanding claims aged 45 days or greater to resolve insurance balances. Resolving account balances includes interacting with insurance companies and agencies in resolution of unpaid balances, and other hospital billing issues. This position typically allocates 65% of its time to calls with payers gathering billing information, as well as claims and appeals status or information not available through web portals or secure email functions.

A successful Follow-Up Representative will support the success of a high-volume, fast paced revenue cycle by helping to follow up on accounts in a timely manner, navigate independently through multiple applications, payer portals and other websites, express critical thinking in independent work, and demonstrate high capabilities of computer literacy when independently troubleshooting issues or working with tech support.

Primary Duties and Responsibilities:

• Completes appropriate actions needed for timely claims follow up and effective appeals submission including research, rebilling, adjustments, transfers to next responsible parties, and escalating payer issues to Leadership

• Corresponds professionally with third party commercial insurance payers to obtain information required for effective claims resolution

• Uses provided references materials to troubleshoot claims issues and increase understanding of claims resolution techniques. Reference payer websites as needed

• Working knowledge of EOBs, EFTs and ERAs, patient liabilities, and insurance or third-party correspondences

• Completes assigned work queues or tasks within timeframes assigned by Leadership

• Communicates and collaborates well with other team members

• Assists other projects, teams and staff as needed or assigned

Required Position Qualifications:

• High school diploma or equivalent

• Four years' experience with billing and collections within the health care revenue cycle, including knowledge of HIPAA regulations, diagnosis and procedural codes

• Ability to adapt within a high volume, fast paced revenue cycle team

• Hospital Billing and/or Professional Billing experience

• Ability to interpret EOBs, denials, and appeals

• Ability to efficiently call insurance payers

• Utilize websites and payer portals when applicable

• Express critical thinking in independent work

• Demonstrate high capabilities of computer literacy

• Must be adaptable and able to work with a diverse team and client base

• Work within deadlines while remaining flexible and organized

• Excellent communication, both written, verbal and demonstrate listening skills

• Ability to learn within a 100% remote environment

• Secure working location with no interruptions during working hours

• High proficiency with standard office equipment and software such as Microsoft Office products, knowledge of Health Information Systems, 10-key, multi-line telephone

• Type minimum of 40 wpm

Required Systems/Software Experience:

• EPIC

Preferred Systems Experience:

• Healthlogic

• ChangeHealthcare/Emdeon

• Payer Portals – Availity, OneHealthPort, Passport, etc.

• Microsoft Office 365 – Teams, Outlook, Excel, PowerPoint etc.

Compensation:

Base salary range USD $32,670 - $48,330 annually

Benefits:

Medical, dental, vision, 401k + matching
3 weeks of PTO
Education and wellness stipends
Paid holidays
Performance-based bonus opportunities
Employee referral incentive
Flexible working environment

WORKING CONDITIONS:

Remote face-to-face trainings and meetings. Cameras are required.
Base download/upload internet speed of at least 35Mbps - SATELLITE/HOT SPOT INTERNET IS NOT PERMITTED.
Quiet, dedicated, non-shared, secure space to work
All equipment will be provided by Boost Healthcare
Must reside in AZ, FL, GA, IL, LA, MN, OH, OR, PA, SC, TX, or WA

PHYSICAL REQUIREMENTS

• Talking: Frequently conveying detailed or important instructions or ideas accurately, clearly, or quickly to your team, Supervisor, or insurance companies

• Hearing: Able to hear average or normal conversations and receive ordinary information

• Repetitive motion: Frequent and regular use of the wrists, hands, and fingers to make small movements such as typing or picking up small objects. Normal fine and gross motor control of fingers and hands

• Seeing: Visual acuteness necessary for the proper evaluation of or to prepare, inspect documents or other materials. Ability to accurately view computer monitors

Boost Healthcare is an Equal Opportunity Employer. Offers of employment are contingent on successful completion of background check.

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