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    Medical Accounts Receivable Specialist - Dallas, United States - Hazel Health

    Hazel Health
    Hazel Health Dallas, United States

    1 week ago

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    Description

    Job Description

    Job Description

    Hazel partners with schools and families to provide physical and mental virtual health care that helps students feel better and get back to learning. As telehealth becomes more and more relevant in the lives of children, Hazel is experiencing tremendous company growth. Our innovative response to our nation's call for equitable, affordable, and safe virtual access to healthcare has been recognized by Fast Company as "one of the world's most innovative places to work" in 2023.

    Helping students and their families feel better takes a team of smart, dedicated people. As an integral member of the Hazel team, you will...

    • Make an Impact: Work with a team that is increasing equitable access of quality health care experiences for students and their families
    • Enable Scale: Work with a team that is building and professionalizing a high growth high impact social enterprise
    • Feel Valued: Work with a team that is being compensated competitively, developed professionally, and celebrated frequently for making a meaningful difference

    Check us out at Hazel Health Careers.

    The Role: Medical Accounts Receivable Specialist

    Location: Remote

    About this role:

    The Medical AR Specialist will support the AR Manager in various functions of the Hazel Revenue Operations team, concentrating on specific regions and payors supporting the revenue cycle team by reconciling accounts, following up on rejected/outstanding claims, and collaborating with third-party partners on data and clarification requests. Attention to detail, strong organizational skills, and the ability to communicate effectively with clients and team members are crucial for success in this role at Hazel Health.

    Additionally, your role may include supporting our billing team to secure real-time insurance benefit eligibility and coverage information for patients. This role requires experience with eligibility and claims adjudication for multiple states' Medicaid, Managed Medicaid, and commercial plans.

    What You'll Do:

    • Monitor insurance accounts receivable aging by region to identify overdue accounts and coordinate follow-up, clarification, and collection efforts.
    • Create and utilize spreadsheets and other tools to track and analyze data by region.
    • Reconciliation by region. Regularly reconcile accounts receivable to identify discrepancies and resolve issues and denials.. Handle inquiries and resolve payment-related issues from vendors and/or payers, utilizing the appeals process.
    • Identify opportunities to improve billing and insurance accounts receivable processes and implement best practices.
    • Ensure that the billing and accounts receivable practices align with relevant accounting principles and regulations.
    • Follow-up phone calls with payors when needed
    • Verifies detailed insurance benefits, medical necessity, and authorization/referral guidelines, consistently prioritizing and following the established verification process
    • Read and interpret insurance Explanations of Benefits (EOB)/Remittance Advice (RA) with understanding and take appropriate steps to resolve issues.
    • Verify all information obtained is correctly documented in the patient's account, in the correct format.
    • Communicate with insurance providers via phone and electronically via web portals to validate patient benefits, check authorization requirements, and review authorization status
    • Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
    • Performs other duties as required or assigned within the scope of responsibility.

    What Excites Us:

    • Passionate for our mission to transform healthcare for all children
    • 2+ years of experience with medical insurance AR
    • Billing and Coding certification preferred
    • 1+ years experience in insurance verification with experience in Medicaid, Managed Medicaid, and commercial payers across multiple states. 3+ years or more experience with Google Suites (google sheets, google docs)
    • Experience navigating state Medicaid, Managed Medicaid, and commercial insurance portals
    • Highly detail-oriented and comfortable with insurance, claims, and other data sources
    • Associates Degree preferred

    Total compensation for this role is market competitive, with a base salary range of $ $31.25/hour with eligibility for stock options, a 401k match, healthcare coverage, paid time off, and a broad range of other benefits and perks. Peruse our benefits at Hazel Health Benefits.

    Our Hiring Process:

    At Hazel, we value your time Because of this, we have intentionally designed our engagement process with YOU in mind. Our hiring process takes no more than 4 weeks by implementing a clearly defined timeline of events unique to each role and skill set. The Hazel recruiting team understands interviewing for a new job can be a big change; we are excited to guide you through this process

    We believe talent is everywhere, and so is opportunity. While we have physical offices in San Francisco and Dallas, we have embraced working remotely throughout the United States. While some roles may require proximity to our San Francisco or Dallas offices, remote roles can sit in any of the following states: AZ, CA, CO, DC, DE, FL, GA, HI, IL, ME, MD, MA, MI, MO, NE, NV, NJ, NM, NY, NC, OR, PA, SC, TN, TX, VT, VA, WA and WI. Please only apply if you live and work full-time in one of the states listed above or plan to relocate to one of these states before starting your employment with Hazel. State locations and specifics are subject to change as our hiring requirements shift.

    We are committed to creating a diverse, inclusive and equitable workplace. Hazel Health values the minds, experiences and perspectives of people from all walks of life. We are proud to value diversity and be an equal opportunity employer. Qualified candidates with arrest and conviction records will be considered for employment in accordance with the Fair Hiring laws. Learn more about working with us at Hazel Health Life.

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