Revenue Integrity Specialist

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $28 - $34 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Assembly Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Assembly Health is dedicated to elevating financial performance for healthcare providers through innovative revenue cycle management and back-office solutions. Their expert team and technology optimize processes, allowing healthcare organizations to focus on delivering quality patient care. With a comprehensive approach that includes analytics, compliance consulting, and staffing services, Assembly Health serves a wide array of physician specialties and long-term care communities across the United States.

📋 Description

• Accurately post payments and adjustments from commercial and third-party insurance companies • Maintain and prioritize the EOB email inbox, including credentialing, underpaid claims, medical records, denials, and refunds • Collaborate with billing specialists, account managers, clients, and other relevant parties to resolve payment-related issues • Investigate unidentified payments and apply them to appropriate accounts • Interpret EOBs and ERAs • Research and identify proposed negotiations through insurance portals, scans, faxes, and emails • Oversee the Negotiations inbox and resolve requests in a timely manner • Manage and review contract negotiations between SCA/LOAs • Record negotiation information in Google Suite and company billing systems • Assist with client inquiries and requests • Review and delegate high-volume client communication and insurance correspondence • Achieve performance goals established by the Manager • Maintain HIPAA and compliance standards to preserve patient confidentiality • Perform other tasks as needed

🎯 Requirements

• 2-3 years of experience working in Payment Posting and Negotiations in the behavioral healthcare space • Minimum of one year's experience using CollaborateMD, Availity, and Google Sheets • Knowledge of Third-Party Pricers to review trends/patterns • Proficiency in ICD-10, HCPCS/CPT, medical terminology, and levels of care • Strong problem-solving, analytical, and critical thinking abilities • Superior written and verbal communication skills • Ability to manage critical deadlines, self-motivate, and multitask • Resourcefulness, persistence, and excellent problem-solving ability • Ability to function well in a fast-paced and sometimes stressful environment • Ability to sit for prolonged periods at a desk and work at a computer • Ability to lift and carry items weighing up to 10 pounds at times

🏖️ Benefits

• Virtual and in-person events to connect with your team • Competitive Benefit Packages available • Paid Holidays • Paid Time Off • Medical insurance • Dental insurance • Vision insurance • 401(k) • Company bonus programs may be available to eligible employees • Career growth opportunities • Transparent work environment

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