Employer: Kestra
This position is accountable for the timely & compliant billing of customer orders to federal, state and commercial insurance plans, and privately when no funding is available. This position will also collect payments from all parties and will focus on minimizing bad debt and continuous improvement of cash flow. This position will work side-by-side with the Director of Claims and Public Healthcare Program Compliance in improving the overall process in addition to collaborating with the customer support team in obtaining consistent process improvement based on the actual workflow.
ESSENTIAL DUTIES
• Ensure critical data is entered into the orders appropriately to obtain proper reimbursement from various funding sources through use of the Patient Management Billings System – Bonafide.
• Communicate issues causing denials to the appropriate teams to allow for improvement and overall faster claims processing.
• Interact with clients to resolve any open receivable issues and answer questions they may have pertaining to claims and invoices.
• Develop strategic plans and programs for the Revenue Cycle process and ensure that goals and objectives are properly defined and clearly established.
• Maintain insurance billings are current within the established timeframe specified in the department policy.
• Maintain collections are timely and within the established timeframe specified in the department policy.
• Communicate with payers regarding outstanding receivables and submit appeals as required.
• Review and complete daily /weekly reports to achieve billing and collection goals.
• Assist in the development of training materials that will be shared across functions.
• Advise if specific receivables are to be qualified as refunds, adjustments or write-offs.
COMPETENCIES
• Passion: Contagious excitement about the company – sense of urgency. Commitment to continuous improvement.
• Integrity: Commitment, accountability, and dedication to the highest ethical standards.
• Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service.
• Action/Results: High energy, decisive planning, timely execution.
• Innovation: Generation of new ideas from original thinking.
• Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind.
• Emotional Intelligence: Recognizes, understands, manages one’s own emotions and is able to influence others. A critical skill for pressure situations.
Requirements
QUALIFICATIONS
Education/Experience Required:
• Bachelor’s degree or 6 years equivalent experience
• 5 years of experience in the DME / HME billing environment
• Strong background in federal and state laws and requirements relating to Healthcare policy
• Proficiency with Microsoft Office Word, Excel, and PowerPoint
Preferred:
• Supervisory or management experience
• Experience with Bonafide
• Experience with Salesforce
Owala Kids FreeSip Insulated Stainless Steel Water Bottle with Straw, BPA-Free Sports Water Bottle, Great for Travel, 16 oz, All the Berries
$22.99 (as of July 26, 2024 13:35 GMT -05:00 - More infoProduct prices and availability are accurate as of the date/time indicated and are subject to change. Any price and availability information displayed on [relevant Amazon Site(s), as applicable] at the time of purchase will apply to the purchase of this product.)
