KORE1 Technologies

Compensation

Full Description

KORE1, a nationwide provider of staffing and recruiting solutions, has an immediate opening for a Customer Resolution Specialist that is fully remote. What you will do: • Performs or requests adjustments and contractual write offs as applicable • Maintains a thorough understanding of hospital and professional billing procedures and payment practices of state, federal and all third party payers. • Resolves HB and PB customer service inquires which could include: Benefit and eligibility information, Billing and payment issues, Authorization for treatment, Explanation of benefits (EOB) • Perform timely and efficient collection of all HB and PB self-pay balances by calling patients/guarantors and others to collect or arrange budget plan options and resolve issues. • Performs presumptive charity determinations as applicable. • Performs bad debt request transfers as applicable. • Ensures daily productivity standards of assigned accounts are met and posting of all action codes related to patient's accounts • Maintains a thorough, practical understanding of departmental established policies and procedures • Other duties as assigned Education Qualifications: • High School diploma or GED equivalent Experience Qualifications: • 3 years of progressively responsible and directly related work experience Required Knowledge, Skills and Abilities: • Government/non-government payer requirements, reimbursement rules, laws and regulations that govern billing/collection activities • Medical terminology, CPT-4, ICD-9, HCPCS, modifier coding and how these items drive reimbursement • Principles and practices of customer service and telephone courtesy • Organizational, planning, analytical and problem solving skills • Attention to detail and follow-through • Demonstrated verbal and written communication skills • Microsoft Office applications (Word and Excel) • Epic Professional Billing preferred Licenses and Certifications: • HFMA - Certified Rev Cycle Rep (CRCR) preferred Compensation depends on experience but is typically ABOUT KORE1 Specializing in professional and technical recruiting, KORE1 is committed to supporting top IT, Engineering, Creative, Scientific, Accounting and Finance professionals in their career paths. We build deep relationships with leading companies, connecting them to exceptional talent every day. With extensive industry expertise and unmatched opportunities, our goal is to provide a unique experience for our contractors and consultants as they prepare for their next role. We are passionate about matching the right people with the right companies. Kore1 provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Kore1 complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Kore1 expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Kore1's employees to perform their job duties may result in discipline up to and including discharge.