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Job Requirements of Remote AR Recovery Specialist:
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Employment Type:
Contractor
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Experience:
Not Specified
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Education:
Not Specified
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Travel:
Not Specified
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Manage Others:
Not Specified
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Location:
Atlanta, GA (Remote)
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Remote AR Recovery Specialist
Remote Hospital Biller (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-6pm (8 hours)
Duration: Long term contract
Duties:
Learn and understand our AR 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
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