Date Posted: 01/23/2025
Hiring Organization: Rose International
Position Number: 477053
Job Title: Revenue Cycle Specialist Collections & Special Projects
Job Location: Remote, USA
Work Model: Remote
Employment Type: Temporary
Estimated Duration (In months): 6
Min Hourly Rate($): 20.00
Max Hourly Rate($): 22.00
Must Have Skills/Attributes: Claims - Medical, Collections, Health Insurance, Healthcare, MS Excel, MS Office, MS Word
Job Description
Description:
Client seeks to grow our Insurance Collections Team concentrating on Special Projects. This role''s responsibility is to seek out and maximize reimbursement from various insurance plans by resolving complicated denials, short payments, billing errors, and other claim issues. The ideal candidate is a self-motivated individual that demonstrates strong critical thinking skills and can resolve complex problems with little leadership guidance or intervention. Individuals who excel in this role are ambitious, results-driven, and robust in root cause analysis. In addition, this position requires attention to detail, strong written and verbal communication skills, and the ability to work well as part of a fast-paced team.
This is a 100% remote position. All necessary equipment to be successful in this position will be provided.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Work assigned lists of outstanding claim balances and patient accounts with multifaceted issues across different payers and patients
Identify trends, conduct follow-up, and perform root cause analysis on unpaid and underpaid insurance claims across different payers
Perform actions towards remediation of outstanding balances according to policy and procedure; including but not limited to in-depth research, appeals, rebilling, obtaining insurance authorizations or referrals, correcting coding, calling the payer or clinic, and utilizing payor portals
Resolve issues related to a patient''s coordination of benefits (COB), demographic discrepancies, insurance eligibility or authorizations, and referrals as needed
Address patient benefit-related denials, including phone verification of plan requirements, financial risk, as well as other factors that may impact reimbursement
Navigate through various payer systems, provider portals, and internal Client applications to ensure timely and accurate claim resolution
Regularly calls payers, employers, and patients
Demonstrate ability to build strategic business relationships with internal and external partners (i.e., Billing & Coding Team, Registration Department, Credit Department, clinical teammates, and the payer(s))
Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and Client policies
Meet or exceed team metric expectations for production, quality, and adjustment accuracy
Schedule:
8-hour day shift; core business hours (40 hours a week)
Monday -Friday
Start times vary by time zone:
PST: 6 am
MST: 7 am
CST: 8 am
EST: 9 am
Qualifications Required:
Highschool Diploma or equivalent (w/ proof of documentation)
Intermediate knowledge and skills in Microsoft Office tools; Excel, PowerPoint, Word, and Outlook
Experience working in healthcare revenue cycle; emphasis on collections (2+ years)
Ability to confidently place phone calls to payers, clinics and patients
Preferred:
Associate or bachelor’s degree
Experience obtaining insurance authorizations and sorting out coordination of benefits --knowledge of retro authorizations and referrals is a plus! - **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
I am very happy with the Rose International, and the professionalism of the employees.
Robin, Consultant
Any time I did have a question and called, the phone was always answered, and my question/concern was immediately resolved.
Sally, Consultant
I had a very positive experience working for Rose. The entire process is very efficient and easy.
Joanne, Consultant
Thanks for the opportunity. If in the future I ever need a job, I would like to work for Rose International.
David, Consultant
It is a great pleasure being a part of the Rose International Team.
Toni, Consultant
EMPLOYEE COMMENTS