Envision Healthcare

RCM Accounts Receivable Representative

Job Locations US-PA-Conshohocken
Company EVPS
Requisition ID
2022-32508
Category
Medical Billing

Overview

RCM Accounts Receivable Representative

Envision Healthcare

Remote

 

Start the New Year off Right!!

New positions starting 1/9/2023!!

 

 

Envision Healthcare is a leading national medical group focused on delivering high quality care to patients when and where they need it most. More than 30,000 clinicians and clinical support teammates call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

 

Through Envision Physician Services and AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

 

Envision’s core values drive continual advancement and ingenuity across the enterprise:

  • Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
  • Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
  • Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
  • Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
  • Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
  • Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging

Benefits

We offer you an outstanding total compensation package, and a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits package includes: medical, dental and vision, life & disability, 401k, HSA, Flexible Spending and an Employee Assistance Program.

 

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 a full-time RCM Accounts Receivable Representative.

Responsibilities

Summary:

 

The RCM Accounts Receivable Representative resolves third party outstanding accounts throughout the client base by means of researching claim status, identifying and resolving issues, and processing denials or other correspondence received from various payors.

 

This position will be a remote position.

 

This position come with comprehensive paid training which will be Monday-Friday (Exact training hours are still being determined, but it will be dayshift hours). Flexible hours are available once training has been completed. Compensation will be determined by level of experience. 

 

Start date: January 9, 2023

 

Responsibilities:

  • Utilize proprietary software to process rejections, denials and other correspondence received from third party payors in accordance with our procedures and guidelines to resolve issues and re-bill “clean” claims for payment.
  • Acquire, interpret and apply payor rules/regulations to ensure claims and appeals are submitted/processed in accordance with proper guidelines.
  • Research complex payor issues preventing payment and communicate the details to appropriate internal personnel for resolution.
  • Analyze patient account history in order to resolve claim issues.
  • Accurately document the system notes screen regarding any actions or updates made to the patient account.
  • Investigate outstanding accounts, identify issues/denials preventing resolution and communicate findings to appropriate management personnel.
  • Serve as the primary contact for all inbound calls from insurance companies to resolve problems and answer questions.
  • Attend meetings within and outside of the department, and present information as needed.
  • Assist in the mentoring of new representatives to the department.
  • Process special projects as assigned by the supervisor and other management staff.
  • Prepare mass appeals for large and complex payor/provider issues.
  • Contact hospitals, employers, and payors for verification, claim status, and to obtain additional information to satisfy processing of the claims for payment.
  • Maintain all department standards associated with productivity, quality, and phone statistics.
  • Communicate with other departments to identify and resolve issues causing rejections and denials, utilizing applications and databases.
  • Compose appeal letters to third party payors and compile all proper documentation including but not limited to claim forms, payor specific forms, and medical documentation as applicable.
  • Utilize all resources and websites as a tool to retrieve pertinent information related to accounts receivable tasks and assignments
  • Other duties as assigned

 

Qualifications

Qualifications:

  • Working knowledge of PC applications (MS Office).
  • Working knowledge of medical billing/insurance terminology.
  • Working knowledge of Medicare, Medicaid, and Blue Shield rules and regulations.
  • Handle a large volume of work
  • Meet or exceed established standards for productivity and quality
  • Flexible, high achiever with ability to learn quickly and meet department goals and deadlines.
  • Strong attention to detail.
  • Ability to compute percentages and basic math functions.
  • Ability to identify and solve moderate to highly complex problems independently.
  • Organized, detail oriented with excellent follow through abilities. Can handle and prioritize multiple tasks. Reliable, team-oriented, pleasant with excellent interpersonal skills.

Education / Experience:

  • High School Diploma or GED required.
  • Minimum of 6 months heatlhcare billing experience required.

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 Healthcare 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 Healthcare is an Equal Opportunity Employer.

 

LI-SK1

 

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