RCM Insurance Specialist
Posted about 5 hours ago
Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That’s why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care.
Position Overview
As an Insurance Billing/ AR Follow-Up Specialist you are responsible for the maximization of reimbursement by contacting insurance carriers and/or 3rd parties on a daily basis to collect outstanding insurance balances due, resolve disputes and denials and general non-payment issues.
Schedule
Monday-Friday: flexible, ~7:00am-4:00pm EST
Compensation Disclosure
- Starting hourly range between $22.00 - $25.00
Final Compensation offered will be within pay range based on qualifications/experience met for the position
Location
Fully Remote
How the Insurance Billing & A/R Follow-Up Team Empowers Recovery
- Understanding of and adherence to payer policies and protocol. Utilize Payer resources to resolve disputes and denials.
- Adhere to payer timely filing limits and work accounts to resolve within payer timely filing parameters. Appeal claims when appropriate and within timely filing limits.
- Perform due diligence in reconciling outstanding balances ensuring all efforts have been exhausted in resolving issues with payers prior to write-off.
- Research all payer refund requests, recoupments and credit balances for accuracy and appeal if appropriate.
- Familiar with Payer contracts to ensure compliance.
Qualifications
- Post-secondary degree preferred.
- Minimum of 3 years’ Billing and Accounts Receivable experience in a healthcare office environment.
- Coding experience a plus.
- Significant experience using Microsoft Office - Word, Excel, PowerPoint, and Outlook.
- Ability to learn and adapt to internal software programs.
What we offer:
Employee Benefits: We understand the importance of a well-rounded benefits package. That’s why we’re dedicated to providing a range of plans to meet your needs.
For full-time employees, we offer:
- HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
- Dental insurance (Delta Dental)
- Vision insurance (EyeMed)
- Short-term and long-term disability insurance
- Company-paid life insurance
- 401(k) plan available two months after start date
- Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation
Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.
Other open roles at The Emily Program(6)
Key team members
Laurel Achen, MBA
Susan L.
Andrii Kokov
Lauren Teschner
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