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    Account Resolution Specialist - Bloomington, United States - Twin Cities Orthopedics

    Twin Cities Orthopedics
    Twin Cities Orthopedics Bloomington, United States

    4 weeks ago

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    Description
    Account Resolution Specialist - Revo Health

    Job Category

    :

    Administrative/Office Support
    Requisition Number

    :

    ACCOU007283
    Apply now
    Posted :

    May 6, 2024
    Full-Time
    Locations

    Showing 1 location
    Bloomington, MN 55431, USA

    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.

    This is a full-time position working Monday - Friday 8:30am - 5:00pm at our Golden Valley location. Company moving to Bloomington, beginning of Q2. Option to work remotely following training. Typical training period is 3-6 months.
    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
    Previous experience in a healthcare facility in relation accounts receivables or billing practices preferred.

    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.

    This position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.

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