Remote AR Recovery Specialist (Denials)

Remote Hospital AR Recovery Rep  (EST or CST) 

Prestige Staffing is searching for remote hospital Recovery Specialists for a long term project that could last up to 2 years. This role will be Monday - Friday normal business hours and equipment must be provided by the contractor. 

Pay:$18/hr. 
Hours: Monday - Friday,  8am or 9am start (8 hours)
Duration: Long term contract

Duties:
Learn and understand our Accounts Receivable Optimizer platform and the various resources available
• Work an assigned number of accounts from start to finish successfully, and in a timely manner
• Call healthcare insurance companies, their affiliates & providers to resolve any question about contract or payment issues
• Analyze contract, billing, cash costing, pricing, and collections on accounts in compliance with billing regulations, policies, and procedures
• Investigate all insurance payments that deviate from expected payment
• Work collaboratively with leadership and other team members to confirm, challenge, or provide
trending and solutions

Requirements:

• High School Diploma, GED required, Associate degree preferred
• 1.5 years of experience in UB-04 Follow-Up and/or Contract/Reimbursement Analysis, including
  investigation of both pricing and reimbursement variances
• Detailed knowledge of Facility Reimbursement contracts, fee schedules, reimbursement
  procedures
• Advanced MS Excel skills
• Detailed understanding of insurance follow-up (i.e., resolving non-paid, denied, under-paid, and rejected claims) for healthcare providers
• Experience in UB04 Facility Pricing and Reimbursement variance
• Good understanding of revenue cycle
• Basic understanding of HIT systems like EPIC, Paragon, Zirmed, or other billing systems
• Problem solving / superior analytical skills
• An organized and detail-oriented aptitude
• Able to pass a criminal background check
• Knowledge of all payors (government, commercial, etc.) helpful