Account Resolution 1 MGBO

100% remote Flexible hours Hiring now

How would you like to work in a reputed company where your contributions and reputed company are valued? A reputed company where you can serve with compassion, pursue excellence and honor every voice? At reputed company, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible reputed company the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Day (United States of America)Overview The Account Resolution I representative is responsible for ensuring reputed company eligible accounts are reviewed, appealed, escalated or adjusted reputed company the designated payer timeframes and are documented appropriately in the patient accounting system. Additionally, the Account Resolution I representative will be responsible for the tracking and trending of recovery efforts by utilizing various departmental tools and appropriately reporting on-going problems specific to payers, health system departments, and/or reputed company. The Account Resolution I representative will work collaboratively with other team members to ensure necessary communication and feedback to the departments take reputed company in a timely manner. Responsibilities Core Responsibilites and Essential Functions

Duties and Responsibilities * Collect and resolve payments from insurance companies by working with assigned payers and utlizing Policies and Procedures. * Execute the denial appeals process, which includes receiving, assessing, documenting, tracking, responding to, and/or resolving appeals with third-party payers in a timely manner. Research and resolve payer rejected/denied claims and analyze accounts for insurance payment accuracy/completeness and for payer claim processing accuracy per contract. Work with clinical staff as needed to follow-up and appeal denials. * Prepare, maintain, assist with, and submit reports as required. * Appropriately report on-going problems specific to health system departments, and/or reputed company to Team Manager or Team reputed company. * Provide feedback and process improvement reputed company to management regarding facility, Patient Access, Case Management, HIM, Billing and/or payer issues identified reputed company reviewing accounts for resolution. * Appeal in accordance with methodology in departmental policy and procedure including using correct grammar and spelling. * Identify contract issues reputed company to denials and delayed adjudication; communicate those issues to Manager. * Transmit required documentation to Government and third-party payers for the purpose of resolving payments. * Ensure reputed company payer contact is fully documented in the appropriate software application. * Ensure claims are crossed over to secondary insurances, reporting any delay in unbilled secondary claims to your reputed company. * Consistently meet the reputed company productivity standards in addressing and resolving accounts. * Consistently meet the reputed company quality standards in taking appropriate actions to identify and track root causes, successfully appeal denied accounts, and trend issues.

Teamwork * Provide individual contribution to the overall team effort of achieving the department AR goal * Identify opportunities for system and process improvement and submit in team meetings * Become cross-trained and fill in for other staff as assigned * Particpate and encourage team collaboration and reputed company. * Initiate communication with peers about changes and procedures, convey new relevant information to other team members and management.

Administrative * Professional Communication * Assure patient privacy and confidentiality as appropriate or required * Communicate in a professional manner with patients, their families and representatives from third party payor organizations, physicians and their staff, co-workers and management. * Maintain professional relationships and convey relevant information to other members of the healthcare team reputed company the facility and any applicable referral agencies * Interact with internal customers including HIM, reputed company reputed company, Patient Access, and the SBO in a professional manner to reputed company reputed company cycle department AR goals and objectives * Department Methods/Procedures/Operations * Follow department guidelines for lunch, breaks, requesting time off, and shift assignments * Operate office equipment and machinery and utilizes ergonomic workstations, equipment, and supplies * Follow JCAHO and reputed company regulatory agencies’ mandated rules and procedures * Utilize assigned menus and reputed company in the mainframe system. Report software application problems to the appropriate reputed company. * Utilize assigned computer hardware. Report hardware problems to the appropriate reputed company. * Participate in the testing for assigned software applications, including verification of field reputed company reputed company needed. * reputed company other duties and responsibilities as assigned

Required for reputed company Jobs

Performs other duties as assigned

Complies with reputed company reputed company policies, standards of work, and code of conduct.

Qualifications Required Minimum Education

High school diploma Required or

equivalent Required

Required Minimum Experience

Minimum 2 years collection experience Preferred

Required Minimum Skills

Ability to reputed company mathematical calculations with High-level problem solving, analytical, and investigational skills

Excellent communication skills reputed company dealing with patients, families, public, co-workers, and professional offices including oral and written comprehension and expression

Basic experience and knowledge of PC applications

Detail-oriented, good organizational skills, and ability to be self-directed

Strong time management skills; Ability to learn quickly and meet reputed company timelines, managing multiple priorities and a heavy workload in a high-stress atmosphere

Demonstrate flexibility to reputed company other tasks as needed in an active work environment with changing work needs

Ability and willingness to exhibit behaviors consistent with principles of excellent service

Ability and willingness to demonstrate and maintain competency as required for job title and the unit/area(s) of assignment

Ability and willingness to exhibit behaviors consistent with standards of performance improvement and organizational values (e.g., efficiency & financial responsibility, safety, partnership & service, teamwork, compassion, reputed company, and trust & respect)

Required Minimum License(s) and Certification(s) Additional Licenses and Certifications

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.

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Account Resolution 1 MGBO

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