AR Specialist

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Limitlessli

51 - 200 employees

⚕️ Healthcare Insurance

🎯 Recruiter

☁️ SaaS

Healthcare Insurance • Recruitment • SaaS

Limitlessli is a company that specializes in providing offsite staffing solutions for healthcare facilities. They offer customized staffing services for clinical and non-clinical roles, aiming to reduce operational costs and enhance efficiency. With a focus on remote staffing, Limitlessli supports healthcare operations by ensuring compliance with CMS, DOH, and other regulatory agencies through their Active Review Protocols (ARPs™). They provide MDS consulting services and cater to a wide array of healthcare settings including skilled nursing facilities, home healthcare, urgent care centers, and telehealth, among others. Their solutions are designed to increase ROI, offer scalable staffing options, and minimize stress for their clients.

📋 Description

• Follow-up with payers to ensure timely resolution of all outstanding claims via phone or websites • Meets and maintains daily productivity/quality standards established in departmental policies • Utilizes the workflow system, client host system, and other available tools to collect payments and resolve accounts • Adheres to the policies and procedures established for the client/team • Knowledge of timely filing deadlines for each designated payer • Performs research regarding payer-specific billing guidelines as needed • Ability to proactively analyze, identify, and trend claims issues to reduce denials • Communicate with management about any issues and trends identified • Initiate appeals when necessary • Understanding of under or over-payments and credit balance processes • Use, protect, and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

🎯 Requirements

• Minimum 2 years in AR or healthcare billing, preferably in skilled nursing or long-term care • Knowledge of Medicare, Medicaid, and private insurance billing • Strong attention to detail • Proficient in MS Excel • Excellent verbal and written English communication skills

🏖️ Benefits

• Flexible work arrangements

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