Hospital AR Billing-Follow Up Specialist - REMOTE

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

Job summary

A leading Revenue Cycle Management Group is seeking a Hospital AR Billing-Follow Up Specialist to join their 100% remote team. The role involves managing billing processes, ensuring timely claim payments, and collaborating with team members and health plans. Ideal candidates will have experience in healthcare revenue cycle management and strong communication skills. Join us to contribute to our mission of providing exceptional care and support to clients nationwide.

Qualifications

• At least 2 years of healthcare revenue cycle management experience.
• Proficiency in CPT, ICD-10, and revenue cycle processes.

Responsibilities

• Review and scrub claims for accuracy before submission.
• Follow up within appropriate timeframes to determine claim status.
• Validate paid or partially paid claims against client agreements.

Skills

Communication

Prioritization

Compliance

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. We are a Revenue Cycle Management Group supporting clients nationwide with a 100% remote team. Learn more at www.quadristeam.com.

Job Focus

This role involves billing, re-billing, post-payment, and account follow-up for assigned client EMR accounts, including managing various payers such as government programs, managed care, and commercial insurance. The individual will collaborate with team members and health plans to ensure timely claim payments, embodying the company's values through professional and caring interactions.

Primary Responsibilities

• Review and scrub claims for accuracy before submission
• Calculate reimbursements based on fee schedules, DRG, Outlier, etc.
• Submit claims electronically or via hard copy with attachments as required
• Document all account activity clearly in hospital systems and databases

Insurance Follow-Up

• Follow up within appropriate timeframes to determine claim status
• Record follow-up actions and set up accounts for further review

Post Payment Review

• Validate paid or partially paid claims against client agreements
• Review denials or non-covered charges for accuracy
• Resolve technical issues with payers when necessary
• Request adjustments, refunds, and prepare appeals as needed
• Adhere to prioritization and deadlines

Skills for Success

• Maintain 98% accuracy and meet productivity standards
• Ensure compliance with relevant regulations
• Communicate professionally via video, phone, and email
• Prioritize tasks effectively and work independently or in a team

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 processes
• Strong MS Office skills (Excel, Word, PowerPoint)

Certifications

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

Physical and Environmental Requirements

• Sitting for extended periods and working on a computer
• Lifting up to 15 pounds
• Secure home office setup meeting regulatory standards

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

Salary: $20.00 - $24.00 per hour