We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
ABOUT THE ORGANIZATION Elevate Patient Financial Solutions℠ is a trusted partner who delivers superior RCM solutions to hospitals, health systems, and health providers nationwide. For more than 40 years, we’ve been developing and continually refining our best-in-class services and innovative, specialized technology to address the most complex challenges of the revenue cycle. We’ve carefully built teams with unmatched industry experience and service-specific expertise, and our commitment is to deliver on our promises, seek continuous improvement, and the pursuit of excellence to deliver results for our clients. Our services include Eligibility & Disability, Self-Pay, Third Party Liability, Workers’ Compensation, Veterans Administration, COB Denials, Out-of-State Eligibility, and A/R Services, including A/R billing and insurance follow up, legacy conversions and project-specific aged A/R work down. With in-depth, state-specific knowledge and a coast-to-coast presence, ElevatePFS℠ delivers exceptional performance and an unmatched client experience.
DESCRIPTION
Elevate Patient Financial Solutions has an exciting career opportunity available as a A/R Follow Up Specialist.
This position will be a remote-based role.
The full-time schedule for this role will be 8am-5pm, Monday-Friday.
POSITION OVERVIEW:
The primary responsibility of an A/R Follow Up Specialist is to follow up with insurance carriers on aged, unresolved claims. This position is also responsible for researching insurance company issues, such as network problems, work comp claims, and a variety of special projects. This position requires a comprehensive understanding of the operational aspects of the entire revenue cycle as well as the appropriate measures to take in resolving claim issues with payers.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Following up on unresolved claims.
Make phone calls and use insurance company websites to check on claim status.
Identify why payment has not been received from the payer.
Take appropriate actions to resolve issues in a way that results in payment and/or complete closure of insurance balance.
Follow up on patient balances as assigned.
Other duties as assigned.
QUALIFICATIONS AND REQUIREMENTS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.
1-2 years of Medical billing experience is required.
Problem solving, research, organization, detail oriented
Flexibility to work on competing priorities
Able to work independently, identify patterns, make informed decisions
Correctly identifying root causes to determine appropriate actions and outcomes
2+ years Office experience in which problem solving and research were major keys to success.
Prior computer experience is required.
Ability to completely and concisely summarize important details in account notes
Excellent verbal communication skills are a must.
BENEFITS:
Elevate PFS Holdings believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.
Medical, Dental & Vision Insurance
401K (100% match for the first 3% & 50% match for the next 2%)
15 days of PTO
2 Floating holidays
7 paid Holidays
Employee referral bonus program
Teamwork: We believe in teamwork and having fun together
Career Growth: Gain great experience to promote to higher roles
The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.