Envision Healthcare

  • RCM ACCOUNTS RECEIVABLE REPRESENTATIVE II (ANESTHESIA- OOS)

    Job Locations US-FL-Plantation
    Company EVPS
    Requisition ID
    2018-16566
    # of Openings
    1
    Category
    Medical Billing
  • Overview

    Envision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women’s and children’s health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services.  As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia. 

     

    If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

     

    We currently have an exciting opportunity available for an experienced RCM Account Receivable Representative II.

     

    Responsibilities

    The RCM Account Receivable Representative II is responsible for all assigned contracted and/or non-contracted carriers as well as self-pay accounts to ensure proper payment of claims and/or patient responsibility.

     

    • Researches all assigned contracted and/or non-contracted carrier and self-pay accounts to ensure the proper payment through reports, spreadsheets and special projects as deemed necessary.
    • Processes correspondence related to assigned contracted and/or non-contracted carriers including self-pay accounts.
    • Maintains denial reports and ensures accounts are properly documented.
    • Responds to customer service calls and strives for one time resolution of accounts received.
    • Researches denied and improperly processed claims by contacting assigned carriers to ensure proper processing of said claims.
    • Resubmits improperly paid/denied claims to the carrier for proper payment in a timely manner.
    • Identifies and corrects any claim processing errors due to data entry, verification, coding and/or posting mistakes.  Ensures accounts are properly documented.
    • Call and check claim status, work A/R and insurance carrier reports, and insurance denials
    • Handle and organize all aspects of the appeals process for all insurance payers (letters, phone calls, special projects from carriers). 
    • For facility based employees, responsibilities may include:
      • Posts all charges and payments for accounts and balances daily activity
      • Interface with front office staff regarding insurance/patient issues
    • Other duties as assigned

    Qualifications

    • High School Diploma or General Education Degree (GED) and 2 or more years of related experience
    • Good organizational skills
    • Able to prioritize work daily
    • Communicate and work well in a team environment
    • Meet established production and quality goals/metrics
    • Follow up in a timely manner on open items
    • Able to effectively prioritize work on a daily basis
    • Microsoft Office Suite
    • Healthcare Billing System (AS400 preferred)

     

    If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

     

    Envision Physician Services uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

    Envision Physician Services, Inc. is an Equal Opportunity Employer.

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