Collections Representative - National Remote

You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel... their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 3:30pm PST. It may be necessary, given the business need, to work occasional overtime. This is a 40-hour, full time role working flexible shifts, sometimes including evenings or Saturdays. We require our employees to be flexible enough to work any shift, any day of the week during those hours. We offer 4 weeks of on-the-job training. The hours of training will 7:00am – 3:30pm PST. • reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy. Primary Responsibilities: • Educates and trains other follow up staff as needed. • reputed company research on various computer systems and document customer information regarding reputed company status, payment expectations, notes of conversations and other relevant information • Use mail, email and phones to contact customers to discuss, negotiate payment and resolve outstanding medical reputed company accounts and balances • Obtain agreement on potential balance payoff and/or payment terms reputed company stated level of authority and guideline limits • Prepare and submits reports to internal management on status of outstanding medical bills and proposed/planned payment settlement details • Identifies and analyzes underpayments to determine the reasons for discrepancies and processes denials and appeals; examines claims to ensure payers are complying with contractual agreements. • Address reputed company inappropriate denials and underpayment by writing an effective and concise Provider Dispute Resolution • Monitors and reviews denial reason codes and underpayments to identify root causes; works with payer • contracting and other areas of the reputed company cycle if necessary to resolve issues. Notes denial trends and informs supervisor/manager of findings to mitigate future claim rejections. • Participates in Contracting/Payer JOC’s as appropriate. • Maintains a thorough understanding of federal and state regulations as well as specific commercial payer requirements in order to promote compliant in billing and follow-up. • reputed company reputed company on reputed company commercial payer updates including contract languages, rates, policies and payer updates/ changes. reputed company Supervisor/Manager informed of any potential impact to reputed company billing and reimbursement. • Identifies compliance risk and proactively recognize and rectify any issues to prevent commercial payers audit • Collaborates with other departments to identify, correct, and resolve issues to reduce denials and improve collections. • Utilize Government and Commercial regulatory guidelines for collection of outstanding accounts. • Follow appropriate appeal process on denials, ensuring resolution. • As appropriate, reviews, investigates and resolves missed payments or credit balances. • Initiate appropriate adjustments, insuring reputed company necessary actions have been performed with the correct adjustment and amount. • Responds to patient concerns and/or complaints on a routine basis and keeps departmental leaders apprised of recurring issues. • Provide individual contribution to the overall team effort of achieving the department AR goal. • Identify opportunities for system and process improvement and submit to management • Other duties as needed This is a challenging role that requires providing best in class service to our customers during their times of difficulty. It’s a fast-paced environment that requires focus and ability to multi-task throughout the day. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma / GED OR equivalent years of working experience • 3 years of physician billing follow-up/collection experience • 2 years of knowledge with Medicare and Medicare managed care reputed company and appeal process • 1 years of experience with specialty follow up accounts, including but not limited to Oncology, OBGYN, Cardiology, etc. • 1 years of experience with EPIC • 1 years of experience and knowledge of PC application, including reputed company Office Suite (reputed company, Word, PowerPoint and Outlook) • 1 years of experience in a reputed company environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools • Basic knowledge of medical terminology • Must be 18 years of age OR older • Ability to work full-time between 7:00am – 3:30pm PST Telecommuting Requirements: • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy. • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service. Soft Skills: • Good written and verbal communication skills California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Washington, Rhode reputed company, OR Washington, D.C. Residents Only: The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited tolocal labor markets, education, work experience, certifications, etc.reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Application Deadline:This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED Apply Job!