Accounts Receivable, Follow-Up Specialist

Likely ghost job

🕒 April 1

🇺🇸 United States – Remote

💵 $22 - $32 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Accounts Receivable

Where this job comes from

Posted on Clinical Health Network For Transformation (CHN)'s careers page, not through a job board

First seen by Remote Rocketship April 1

Logo of Clinical Health Network For Transformation (CHN)

Clinical Health Network For Transformation (CHN)

201 - 500 employees

Founded 2019

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Clinical Health Network for Transformation (CHN) is an organization that supports and coordinates clinical and operational services for reproductive health providers. CHN states it supports the post‑Roe infrastructure and provides integrated services to 15 Planned Parenthood affiliates across 19 states, connecting patients to care even across state lines. Its services include a centralized call center for appointment scheduling, preregistration and financial verification; patient navigation that helps patients arrange abortion appointments and funds/transportation/hotel for travel over 60 miles; a central billing office that manages claims, payments, denials and appeals; and an information technology function that provides a consolidated, scalable IT ecosystem and integrated digital health platforms. CHN’s team includes executives in operations, IT, revenue cycle, finance, access operations, people and equity.

📋 Description

• Manage the accounts receivable process within the revenue cycle • Handle complex accounts for follow-up, appeals, and credit balance resolution • Follow up on unpaid claims and collect outstanding balances • Investigate and resolve claim denials by reviewing medical records, coding, and payer contracts • Write and submit escalated appeal letters and represent compelling cases to overturn denials with payors • Review and resolve daily clearinghouse rejections and alert management to claim rejection trends • Maintain detailed and accurate patient financial records, documenting account notes and actions taken • Work with healthcare providers to obtain medical documentation, referrals, or authorizations required for claim processing and reimbursement • Follow up on multiple payor types and across multiple states, including Commercial, Medicare, Medicaid, Medicaid Managed Care, Blue Cross, and Title X • Review aged accounts and coordinate or escalate denial and appeal projects with payors • Achieve established KPIs • Communicate with insurance companies, patients, and healthcare providers to resolve billing issues and ensure accurate claim submission • Assist the Manager in resolving issues and provide support and guidance to the revenue cycle team • Ensure compliance with CHN and affiliate policies and state and federal regulations • Support CHN and Planned Parenthood’s health equity mission, including racial equity and accountability to community • Learn about and enhance practices related to racial equity and structural racism in healthcare systems • Provide positive and developmental feedback and accountability related to equity practices

🎯 Requirements

• Bachelor's degree in healthcare administration or equivalent experience • Minimum of 2 years of relevant account receivable experience • Previous experience using ICD-10 Medical Coding and Current Procedural Terminology (CPT) • Knowledge of medical terminology • Strong analytical and problem-solving abilities • Proficiency with Microsoft software (Excel, etc.) • Demonstrated ability to maintain a customer-centric service approach in a fast-paced environment • Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN if necessary • Strong attention to detail and follow-up; and ability to multi-task in fast-paced environment • Demonstrated dedication to Planned Parenthood’s mission, vision, and values • Strong interpersonal skills and the ability to build relationships with stakeholders • Excellent time management, and problem-solving skills • Strong General Technology Skills: proficient utilization of Excel, Word, and Windows environment, Epic, eCW, NextGen or other practice management systems experience a plus • Medical Billing and Coding certification, Certified Revenue Cycle Representative (CRCR) or other certification a plus • Willingness to travel in accordance with the needs of the position, as outlined in the essential functions. Compliance with all CHN travel policies, including safety guidelines while operating a personal vehicle.

🏖️ Benefits

• Health Care Coverage (Medical, Dental, & Vision); eligibility for full-time, regular employees on date of hire • Flexible Spending Accounts and Health Savings Account • Short-Term Disability and Basic Life & AD&D Insurance provided by CHN • Voluntary elections for Long Term Disability and Additional Life & AD&D Insurance available at cost • Employee Assistance Program • Retirement Plan, 3% employer match after one year of service • Paid Time Off Program includes accrual-based PTO, Health Time Off (HTO), and nine (9) paid Holidays

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