Upstream Rehabilitation

Compensation

Full Description

Upstream Rehabilitation is hiring a Revenue Cycle Bad Debt Recovery Associate to join our team! Position Summary: This position is responsible for reviewing patient balances for accuracy and progression to collection agency. Reviewing payments and patient balances in a timely manner, submitting appeals as needed, to resolve issues related to the nonpayment of insurance claims or incorrect processing of claims. This position is responsible for supporting the mission, vision and values of Upstream Rehabilitation. JOB FUNCTIONS: Meet accounts receivable collections operational standards for productivity, quality, and customer-service standards. Research, respond, and document insurance correspondence, eligibility and benefits, and reimbursement on patient accounts. Correcting ledger issues regarding incorrect transfers and contractual adjustments. Review the patient balance to ensure it meets all guidelines to proceed to collections. Corresponding with the collection’s agency by email on account status. Correspond internally with other departments to ensure that the account is worked properly by those areas. Work with Manager to address any trend issue found or any issues with the collection agency. Identify, analyze, and research frequent root causes of account reviews to coordinate corrective action plans for resolution of denials and identify opportunities for improvement. Effectively communicate with others within the business office, at the clinics as well as outside contacts (patients, vendors, physicians, etc.) Protects organization’s value by keeping information confidential. Accomplishes accounting and organization mission by completing related results as needed. Maintain a working knowledge of insurance policies and procedures to ensure the timely resolution of claims issues. Ability to effectively communicate with others within the business office, at the clinics as well as outside contacts (patients, vendors, physicians, etc.) QUALIFICATIONS: High School Diploma or equivalent. 3+ years’ experience in Revenue Cycle, Medicare, Medicaid, and Commercial Insurance in a high-production environment. Working knowledge of Medicare, Medicaid, and Commercial insurance processes and Remittance Advices. Knowledge of CPT, ICD-9, ICD-10, and outpatient therapy billing preferred. Prefer experience with outpatient volumes in excess of 10,000 visits per week is preferred. Preferred Experience in the Healthcare Industry. Excellent communication skills, attention to detail, ability to multitask, organization and detailed oriented, ability to problem solve, meet deadlines, function independently & as a member of a team. Must possess efficient time management and presentation skills, and the ability to manage large volumes of data and be proactive in minimizing data quality defects. Working knowledge of Microsoft Excel, Word and ability to adapt to company’s standard software programs. Working knowledge of Medicare, Medicaid, and Commercial insurance processes and Remittance Advices. Ability to examine processes, policies, and problems and offer solutions. Hours of Work: Monday through Friday during normal business hours. May be required to attend special events and work overtime as needed. Travel: None Position Tolerance/Material handling/Programs & Equipment: Physical Demand Level: Light Work Postures/Conditions and Duration Levels: Constant: Hearing, Vision (near acuity) Frequent: Talking, Sitting, Reaching forward, Fine motor skills, Use of computer, Use of phone Occasional: Standing, Walking, Bending forward, Stooping, Reaching above shoulder height, Pinching, Vision (far acuity), Color Vision Rare: Squatting, Crouching, Kneeling, Climbing stairs or ladders, Balance Physical Requirements: Occasional: Lift 0-20 lbs. from floor to waist. Carry, push, and pull 0-20 lbs. Rare: Lift under 10 lbs. from waist to shoulder. Full-time positions include: Annual paid Charity Day to give back to a cause meaningful to you Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance 3-week Paid Time Off plus paid holidays 401K + company match A network of over 1200 clinics from coast to coast, 26 brand partners, that leads the outpatient physical therapy field. The Upstream family offers something for every clinician- continue your educational training through our mentorship or residency programs, find a path to ownership by becoming a partner in one of our clinics, share your knowledge with others as a clinical instructor, lead a team by advancing in to leadership, make an impact on the community with our advocacy partnerships, and more. Follow @Lifeatupstream on Instagram, and check out our LinkedIn company page to learn more about what it’s like to be part of the #upstreamfamily. CLICK HERE TO LEARN EVEN MORE ABOUT UPSTREAM Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.