Revenue Cycle Associate - In house, remote, hybrid

Job Description

Ternium is a leading provider of premium, professional revenue cycle management services which resolves challenging healthcare insurance claim denials and delays to positive resolution for our partners.

Our mission is to be the trusted partner of health systems and hospitals in their most challenging and complex areas of revenue cycle, so that they may focus on what matters most, patient care.

With our professional and experienced staff, we are able to scale our operating model to meet our partner’s needs, quickly driving superior results in net patient revenue and cash flows, while reducing operating costs and improving the patient experience.

As a Revenue Cycle Associate , you will assist our internal team and healthcare providers in their disputes with medical insurance carriers and managed care organizations across the full spectrum of administrative appeal processes.

In this role, you will be responsible for contacting insurance companies for status of claim and appeal submissions through online payer portals and phone calls directly to the insurance organization.

You will also be responsible for administrative tasks, such as the gathering and arranging of medical records from client systems and mail processing.

You will develop a foundational understanding of the industry and develop strong aptitudes in the areas of Commercial and Managed Care Insurance Claims policies and procedures, and ERISA regulations as it relates to administrative processing of claims, claim payment, coverage determinations, dispute resolution, and other relevant concerns.

Responsibilities

• Perform follow-up status requests through telephone, internet, and / or fax requests.
• Process incoming and outgoing mail, scanning, and document consolidation and indexing.
• Organize and maintain documents in a paper or electronic filing system.
• Maintain a working knowledge of internal policies and client systems and credentials.
• Assist in special projects as assigned.
• Additional duties as assigned.

Requirements

• High school diploma or equivalent.
• Associate or Bachelor’s degree (preferred).
• Prior experience in Revenue Cycle or insurance follow-up, claims processing, or medical billing (preferred).
• Remote Work Experience.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to work independently and as part of a team.
• Attention to detail and the ability to prioritize within a dynamic environment.
• Ability to adhere to all HIPAA and company policies and regulations.

Benefits

• Full-time
• In house, remote, hybrid options
• Starting $14.00 / hr-$18.00 / hr (commiserate with experience)
• 401(k) with corporate match
• Dental insurance
• Flexible schedule
• Health insurance
• Vision insurance
• Life insurance
• Paid time off
• Bonus opportunities
• The opportunity to grow personally and professionally with a dedicated and supportive team experiencing a tremendous growth

Ternium is dedicated to the fundamentals of equal employment opportunity. Ternium’s employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and / or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.

Furthermore, Ternium is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

Requirements

High school diploma or equivalent. Associate or Bachelor’s degree (preferred). Prior experience in Revenue Cycle or insurance follow-up, claims processing, or medical billing (preferred).

Remote Work Experience. Strong analytical and problem-solving skills. Excellent written and verbal communication skills.

Ability to work independently and as part of a team. Attention to detail and the ability to prioritize within a dynamic environment.

Ability to adhere to all HIPAA and company policies and regulations.