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AR Research and Resolution Representative

Job not on LinkedIn

🕒 August 13

🏈 Ohio – Remote

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💵 $14 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 25%

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Logo of USACS

USACS

11 - 50 employees

Founded 2010

💼 Consulting

📦 Logistics

📣 Marketing

Consulting • Logistics • Marketing

USACS is the Undergraduate Student Alliance of Computer Scientists at Rutgers University that organizes events and runs collaborative spaces for computer science students. It maintains resources such as the Coding and Social Lounge (CSL), a Linux-station Command Center, a Hackerspace with 3D printers, robotics, and Oculus Rifts, and a Makerspace for hands-on hardware projects. USACS helps students get involved outside the classroom through workshops, social events, and access to tools and facilities for building hardware and software projects.

📋 Description

• Research and resolve claims to maximize cash collections and minimize denials and lost revenue • Work on individual and project denial and claim assignments • Work outstanding insurance or contract claims and resolve claim edits and denials • Maintain worklists and assignments at acceptable levels based on performance targets, KPI, and quality scores • Conduct insurance or contract follow-up, including interfacing with payers and communicating with internal and external business partners by phone and web-based tools • Promptly escalate items • Identify opportunities to improve department workflows and cross-functional processes • Contribute to the development and maintenance of company-wide payer matrices and updates to Standard Operating Procedures • Participate actively in team meetings • Maintain knowledge of current government and carrier regulations relevant to the industry • Model the organization's core values • Perform and assist with other department duties as needed

🎯 Requirements

• High school diploma or equivalent • Knowledge of and skill in using personal computers in a Windows environment, emphasizing basic word processing and data entry onto spreadsheet programs • Knowledge of medical insurance and its terminology • Basic knowledge of ICD-10 and CPT codes • Ability to work independently and as an effective team contributor • Ability to pay close attention to detail • Ability to identify, research, and solve problems and discrepancies • Ability to communicate courteously and professionally • Ability to maintain confidentiality • Ability to process assigned duties in an organized manner • Ability to perform basic mathematical calculations such as adding, subtracting, multiplying, and dividing • Ability to effectively perform in a multi-task work environment • Ability to work overtime when needed • Ability to work effectively in remote settings • Experience in medical insurance, billing experience, or equivalent training or education is helpful, but not required • Standard office or remote work environment requiring prolonged periods of computer use • May occasionally require lifting files or materials up to 15 pounds • Visual and manual dexterity required for computer and claim documentation work

🏖️ Benefits

• Medical, dental, and vision insurance options • Health savings accounts (HSA) and flexible spending accounts (FSA) • 401(k) employee and employer contributions • Paid time off, including vacation, sick leave, and company holidays • Paid parental leave & family support benefits • Short-term and long-term disability insurance • Life and accidental death & dismemberment (AD&D) insurance • Employee assistance programs & wellness resources • Bonus eligibility, equity, or other incentive programs, depending on the role

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