Accounts Receivable

🔥 14 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Healthcare Outcomes Performance Co. (HOPCo)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

☁️ SaaS

💰 Private equity on 2019-02

Healthcare • B2B • SaaS

Healthcare Outcomes Performance Co. (HOPCo) is the largest orthopedic value-based care organization in the U. S. , specializing in comprehensive musculoskeletal (MSK) care delivery, management, and value creation. Led by orthopedic physicians and executives, HOPCo operates an accredited MSK clinically integrated network and offers practice partnership and health system solutions, payor-facing population health and value-based care programs, analytics and outcomes reporting, and digital patient engagement tools to align stakeholders, improve outcomes, and lower total MSK costs.

📋 Description

• Perform timely follow-up on outstanding insurance and patient accounts receivable • Review accounts for unpaid claims, denials, underpayments, and outstanding balances • Research and resolve billing and account discrepancies • Communicate with insurance payers regarding claim status, denials, payments, and outstanding balances • Work assigned billing and A/R work queues within established departmental timelines • Follow up on denied and unpaid claims and take appropriate action to resolve outstanding balances • Assist with patient account inquiries and resolve billing-related concerns • Maintain accurate and thorough documentation of account activity and follow-up • Research payer requirements and reimbursement guidelines as needed • Identify and communicate recurring billing or reimbursement issues to leadership • Maintain confidentiality when handling patient and financial information • Meet established productivity, quality, and departmental expectations • Perform other duties as assigned

🎯 Requirements

• High school diploma or GED required • Previous experience in accounts receivable, medical billing, collections, or healthcare revenue cycle preferred • Knowledge of healthcare billing and claims processing preferred • Familiarity with Medicare and Medicaid payer guidelines preferred • Knowledge of CPT, HCPCS, and diagnosis coding is a plus • Strong written and verbal communication skills • Strong attention to detail and organizational skills • Excellent problem-solving and critical-thinking abilities • Ability to manage multiple priorities and meet deadlines • Ability to work independently and as part of a team • Proficiency with computers and Microsoft Office applications • Knowledge of healthcare revenue cycle and accounts receivable processes • Knowledge of insurance claims and payer follow-up • Knowledge of claims processing and billing systems • Knowledge of insurance reimbursement practices • Account research and resolution skills • Data collection and documentation skills • Customer service and professional communication skills

🏖️ Benefits

• Full-time employment • Remote work arrangement