Job Description

The Accounts Receivable Specialist follow up with insurance carriers on denied, underpaid, or unresolved insurance claims. This position requires a comprehensive understanding of the entire revenue cycle and appropriate actions to take to resolving claim issues with payers in a timely manner. As an employee of BRIDGE Healthcare Partners, you should strive to maximize your performance and contribution to BRIDGE Healthcare Partners and the clients we serve every day. Employees are expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism, and competence. This position is an advocate of the overall culture, vision, and values of BRIDGE. This position reports to the Manager of CBO. THIS POSITION IS IDEAL FOR SOMEONE WHO IS:

• Autonomous/Independent - ability to work efficiently and acquire knowledge necessary for positive outcomes with little assistance
• Dependable -- more reliable than spontaneous
• Advocacy - thrives on being an advocate for our client(s) by bringing continuous improvement to our team for operational, clinical, and financial process improvements and drives the resolution of issues
• People-oriented -- enjoys interacting and collaborating with diverse positions internally and externally by bringing together all perspectives to arrive at the best solution
• Customer Service Success Driven \xe2\x80\x93 possesses the ability to build consultative client relationships, excels at working with internal cross-functional partners, and thriving in a dynamic, team-focused environment delivering against tight deadlines.

PRIMARY RESPONSIBILITIES INCLUDE BUT NOT LIMITED TO:

• Follows organization policies and procedures
• Provides superior customer support to our clients and their customers by responding to questions and requests; effectively escalates issues as required
• Cross trained to provide department coverage
• Effectively trains team members
• Successfully navigate multiple vendors including but not limited to, payer websites and clearinghouse(s)
• Produces and maintains department policies, procedures, documentation, and training materials for role specific activities
• Upholds "best practices" in day to day processes and workflow standardization to drive maximum efficiencies across the team
• Must maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner
• Routinely collaborate with department managers to correct problems and improve services
• Accurately documents collection activity performed
• Identifies inaccurate claim denials, under or over payments, billing errors, and discrepancies to correct to ensure resolution
• Informs manager of identified issues or trends
• Manages inbound and outbound calls for multiple clients, this may include handling different topics and being a contact between patients and clients
• Provides timely resolution of assigned accounts for multiple clients
• Successfully submits appeals to insurance companies to obtain reimbursement
• Successfully navigates multiple vendors including, but not limited to, payer websites and clearinghouse(s)
• Meets specified department performance requirements
• Resolves support tickets submitted by clients and assigned to department according to metrics assigned
• Manages time and multi-tasks appropriately to meet expectations of management and peers
• Remote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in efficient manner
• Remote employee is responsible to keep work area quiet and organized during scheduled working hours
• Other responsibilities as assigned

MINIMUM QUALIFICATIONS, SKILLS, AND ABILITIES:

• High School Diploma or equivalency required
• Prior NextGen and/or experience preferred
• 2+ years\xe2\x80\x99 experience in healthcare (professional) billing, health insurance or equivalent operations work environment
• Adhere to all HIPAA guidelines
• Excellent communication skills and problem-solving skills
• Ability to read and understand an EOB
• Ability to manage multiple tasks/projects simultaneously and adapt to frequent priority changes
• Ability to work both collaboratively and independently
• Capacity to identify and implement improvement opportunities where enhanced processes, technology, or efficiencies can be applied
• Proficient technical skills and customer satisfaction skills, including ability to troubleshoot products, use MS Office applications and webinar software

PHYSICAL REQUIREMENTS:

• Remaining in a stationary position, often standing, or sitting for prolonged periods
• Adjusting or moving objects up to 20 pounds in all directions
• Communicating with others to exchange information
• Repeating motions that may include the wrists, hands, and/or fingers
• Assessing the accuracy, neatness, and thoroughness of the work assigned

Job Type: Full-time Pay: $38,000.00 - $42,000.00 per year Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: Remote

• Health insurance