Hospital AR Billing-Follow Up Specialist - REMOTE

Quadris Team, LLC; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Quadris Team, LLC recherche un spécialiste en facturation AR pour rejoindre son équipe de cycle de revenus. Ce rôle 100 % télétravail implique la gestion des réclamations de clients pour assurer des paiements rapides et nécessite une attention particulière à la précision et à la conformité. Les qualifications incluent un diplôme de lycée et 2 ans d'expérience en gestion du cycle des revenus. Des compétences en logiciels MS et des certifications sont souhaitées.

Qualifications

• Au moins 2 ans d'expérience en gestion du cycle des revenus santé.
• Compétence en CPT, ICD-10 et processus de gestion des revenus.

Responsibilities

• Réviser et soumettre des réclamations avec précision.
• Assurer le suivi des réclamations et documenter les actions.

Skills

Communication professionnelle

Pensée critique

Priorisation des tâches

Énergie positive

Education

High School diploma or equivalent

Tools

MS Office

Job description

Hospital AR Billing-Follow Up Specialist - REMOTE

Join us at Quadris Team, LLC as a Hospital AR Billing-Follow Up Specialist - REMOTE.

Quadris Team, LLC, a Revenue Cycle Management Group, is seeking a dynamic individual to join our highly skilled Hospital AR Team as an AR Specialist T2. We are a 100% remote team supporting clients across the United States. Visit us at www.quadristeam.com.

Job Focus

This role involves Billing, Re-Billing, Post-payment, and Account Follow-up, including grievance preparation for assigned Client EMR Accounts Receivable. Responsibilities include maintaining accounts for various payers, including government programs, managed care, and commercial insurance. The role requires collaboration with team members and health plans to ensure timely claim payments. The candidate should embody the company's mission, vision, and values, representing the organization professionally and compassionately.

Key Responsibilities

• Review and scrub final billed claims for accuracy before submission
• Calculate reimbursements based on Tier, Outlier, DRG, or other Fee Schedules
• Submit claims electronically or via hard copy with attachments as per contractual deadlines
• Document all account activities clearly in hospital systems and the company database

Insurance Follow-up

• Contact health plans within appropriate timeframes to check claim status
• Document follow-up actions and prepare accounts for further review based on client expectations

Post Payment Review

• Research and validate paid or partially paid claims against client agreements
• Review denied or non-covered claims thoroughly, ensuring accuracy
• Resolve technical issues with payers as needed
• Request adjustments and refunds following client procedures
• Prepare appeals and necessary documentation for denials
• Adhere to prioritization and filing deadlines

Skills for Success

• Maintain 98% accuracy standards
• Meet productivity expectations after onboarding
• Ensure compliance with applicable regulations and laws
• Communicate professionally via video, phone, and email
• Prioritize tasks effectively to meet deadlines
• Bring positive energy and critical thinking skills to the team
• Work independently and collaboratively

Core Qualifications

• High School diploma or equivalent
• At least 2 years of healthcare revenue cycle management experience
• Proficiency in CPT, ICD-10, and revenue cycle management processes
• Strong MS Office skills (Excel, Word, PowerPoint)

Certifications

• Active CRCR certification through HFMA or willing to obtain within 6 months of hire

Physical and Mental Demands

• Sitting for extended periods and working at a computer
• Ability to lift 15 pounds
• Set up a secure home office environment meeting regulatory standards

Quadris is an Equal Employment Opportunity employer. Employment is contingent upon background checks, employment verification, and references. We participate in eVerify.

Salary: $20.00 - $24.00 per hour