Entry Level: Research and Resolution Representative – Virtual USA/Remote

A/R Research and Resolution Representative – Fully Work from Home

Where do you belong?

Your career is more than just a job, it’s part of your life. Whether you’re a clinician, or non-clinical professional,  at USACS you’ll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.

USACS also understands that location is important. We offer  career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture,  outstanding benefits and competitive compensation package is best in class.

Job Description

The AR Research & Resolution Representative is responsible for maximizing cash collections, minimizing denials and lost revenue, modeling the values of the organization, and working individual and project denial and claim assignments.

Location: Remote

ESSENTIAL JOB FUNCTIONS:      

• Performs a variety of complex duties, including, but not limited to, working outstanding insurance or contract claims, resolving claim edits and/or denials. Maintains worklists and assignments at acceptable levels based on performance targets, KPI’s and quality scores.
• Conducts all aspects of insurance or contract follow-up including interfacing with payers, communicating with internal and external business partners by conducting phone calls, utilizing web-based tools. Escalates items in a timely manner.
• Identifies opportunities to improve department workflows and cross functional processes. Contributes to the development and maintenance of company-wide payer matrices and updates to Standard Operating Procedures
• Serves as an active contributor in team meetings.
• Maintains knowledge of current government and/or carrier regulations relevant to the industry.
• Models the core values of the organization.
• Performs and assists with other department duties as needed.

KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge of and skill in using personal computers in a Windows environment with an emphasis on 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 in a courteous and professional manner.
• 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 setting.

EDUCATION AND EXPERIENCE: 

• High school diploma or equivalent.
• At least one year of medical insurance or billing experience or equivalent training or education.

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
• Required to have close visual acuity to perform job.

Hourly Rate: $12.91 – $21.52

Rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description