Collections Representative

This position is National Remote. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Opportunities at reputed company Light Health, in strategic partnership with reputed company. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to reputed company a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the reputed company for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together. This position is part of the Patient Financial Services AR Recovery Team and is responsible for resolving outstanding payer balances in accordance with regulatory and contractual obligations. The critical tasks of this position include resolving payer denials by way of understanding payer policies, contacting the payer, appealing, or resubmitting the claim. Critical tasks also include understanding and reconciling the open-payer balances in accordance with a payor’s contract. This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 4:30pm EST. We offer 4 weeks of on-the-job training. The hours of training will be During normal business hours. Primary Responsibilities: Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements Work closely by way of problem solving with peers and leaders to address payer issues or changes that directly impact the accounts receivable Resolve assigned accounts in a timely and accurate manner, which maximizes reimbursement in compliance with payer regulations and the department’s policy and procedures Take necessary AR adjustments in accordance with the department’s adjustment policy Meet or exceed the reputed company Light Health performance standards as it relates to quality and productivity Request relevant information from appropriate reputed company cycle and clinical departments as required by payer Ensure assigned discharged and final billed accounts are not aging and are escalated timely Thoroughly understand the department’s key performance indicators Maintain the knowledge of payer policies; complete AAHAM or other healthcare reputed company webinars Other duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma / GED Must be 18 years of age OR older 1+ years of healthcare back-end reputed company cycle experience (billing, collections, or A/R) Experience working with denied healthcare claims Experience working with insurance companies to verify the status of denied claims and ensure timely payment Ability to work full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 4:30 PM EST (Eastern Standard Time zone) based on business need Preferred Qualifications: Experience working with Medicare Advantage payers Telecommuting Requirements: Ability to reputed company reputed company company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service *reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $18-$32 hourly based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RED Apply To This Job