Reimbursement Associate (Remote)

BAYADA Home Health Care is seeking a Healthcare Medical Collections Associate to join our Home Health Reimbursement Services team.

Are you looking for an exciting opportunity in a fast-growing industry? Do you want to make a difference in people’s lives while you grow your career and learn the business?

Then the Reimbursement Associate position might be right for you!

This is REMOTE position . Qualified candidates must be able to work Eastern Standard time hours. Hourly rate ranges from $19-$24 / hr.

Weekly Pay + Bonus up to $2,000 paid quarterly! Bonus and success in this role is defined by key performance indicators (KPIs), with productivity being regularly measured and monitored.

MINIMUM QUALIFICATIONS :

• Exemplifies characteristics of The BAYADA Way : compassion, excellence and reliability
• Degree preferred (combination of education and experience may be used in lieu of degree)
• Minimum of one (1) year experience with Healthcare collections / accounts receivable experience
• Must have collections experience
• Experience with HCHB highly preferred
• Intermediate experience with Microsoft Excel
• Demonstrated record of strong interpersonal skills
• Demonstrated record of goal achievement.
• Prior health care and home care experience is a plus
• Competence in basic PC skills required to perform job functions

PRIMARY RESPONSIBILITIES :

• Manage a dedicated accounts receivable for select payor organizations, external business or clients ensuring timely payment.
• Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims from denying.
• Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities.
• Complete administrative appeals and escalation of outstanding claim issues with payor organizations.
• Communication of accounts receivable status with internal customers within service office locations providing status updates with outstanding A / R, bad debt risk and requests needed to secure payment from a client or payor organization.
• Coordinate requests for additional data or workflow between internal revenue cycle departments to allow for claim payment.
• Communicate and escalate accounts receivable trends with immediate supervisor, director and management teams to ensure timely and compliant payment for services.
• Review, document and communicate any claim processing or related changes initiated by payor organizations.
• Work within multiple practice management systems, claim clearinghouse solutions and payor websites to conduct research and complete necessary workflow.
• Ability to met / exceed established performance goals

BAYADA believes that our employees are our greatest asset :

• BAYADA offers a comprehensive benefits plan that includes the following : Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
• To learn more about BAYADA Benefits,
6 days ago