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

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    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
    • 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.
    • 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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