AR Research and Resolution Representative

Job not on LinkedIn

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $14 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

US Acute Care Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2015

💊 Pharmaceuticals

📡 Telecommunications

💰 Private Equity Round on 2021-02

Healthcare • Pharmaceuticals • Telecommunications

US Acute Care Solutions is a physician-owned company specializing in the management and provision of acute care services across the United States. With a focus on emergency medicine, hospital medicine, and critical care, USACS partners with health systems to enhance patient care and improve the healthcare continuum. Annually, the company serves over 10 million patients and operates more than 500 clinical programs in 30 states, driven by a commitment to innovation, quality, and collaborative healthcare delivery.

📋 Description

• Researching and resolving claims to maximize cash collections, minimizing denials and lost revenue • Modeling the organization's values, and working on individual and project denial and claim assignments • Performing various complex duties, including working outstanding insurance or contract claims and resolving claim edits and denials • Maintaining worklists and assignments at acceptable levels based on performance targets, KPI, and quality scores • Conducting all insurance or contract follow-up aspects, including interfacing with payers, communicating with internal and external business partners by conducting phone calls, and utilizing web-based tools • Escalating items promptly • Identifying opportunities to improve department workflows and cross-functional processes • Contributing to the development and maintenance of company-wide payer matrices and updates to Standard Operating Procedures • Serving as an active contributor in team meetings • Maintaining knowledge of current government and carrier regulations relevant to the industry • Performing and assisting with other department duties as needed

🎯 Requirements

• High school diploma or equivalent • Experience in medical insurance, billing experience, or equivalent training or education is helpful, but not required • Knowledge of and skill in using personal computers in a Windows environment • 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

🏖️ 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 • Additional compensation may include bonus eligibility, equity, or other incentive programs