Accounts Receivable/Revenue Cycle Specialist

$34,757 - $34,757/Yr

Revere Health - Provo, UT

Full-time - Entry Level

Remote - Provo, UT

Hospitals

About the position

At Revere Health, we value the health of our patients above all else. As the largest independent multi-specialty physician group in Utah, our healthcare system gives patients the best in communication, quality, coordination, and innovation. Founded in 1969 in Provo, Utah, Revere Health has grown to include 30 medical specialties in over 100 locations throughout Utah, Arizona, and Nevada. As the first Accountable Care Organization (ACO) accredited by Medicare in Utah, and the only Next Generation ACO in the state, Revere Health offers a unique, patient-oriented approach to healthcare. We strive to keep medical costs at a minimum while providing the utmost in quality healthcare. Revere Health: Your Health Above All Else. We have an exciting position available on our Revenue Cycle Team for a Revenue Cycle Specialist. Successful candidates must maintain a professional image in the office and in all communications. The role requires the ability to multitask while maintaining good patient and staff relations along with providing outstanding customer service. As a member of this team, you will work in the Athena-IDX (patient management and billing) system daily to decrease A/R days, resolve denied insurance claims, post payments, and follow through on outstanding claims until payment in full is received from the insurance. You will also be responsible for requesting, preparing, and sending claims to insurance companies, adjusting account charges due to insurance contract requirements, payment reversals/transfers, misapplied charges, or insurance refunds. It is essential to document all activity accurately and immediately in the computer, identify trends and root causes for issues, and present ideas for process improvement. You will work independently as well as on a team, contributing actively to the setting and achievement of personal, team, and department goals and benchmarks. Attendance at department staff meetings, insurance company provider relations meetings, team meetings, and any other assigned meetings is required. Additionally, you must abide strictly by HIPAA law by maintaining confidentiality and only accessing information as needed for job functions. You will also assist in the orientation and training of new employees and perform other duties as assigned.

Responsibilities

• Work in Athena-IDX (patient management and billing) system daily to decrease A/R days.
• Resolve denied insurance claims and post payments.
• Follow through on outstanding claims until payment in full is received from the insurance.
• Request, prepare, and send claims to insurance companies.
• Adjust account charges due to insurance contract requirements, payment reversals/transfers, misapplied charges, or insurance refunds.
• Document all activity accurately and immediately in the computer.
• Identify trends and root causes for issues and present ideas for process improvement.
• Use clinic software proficiently.
• Work independently as well as on a team.
• Contribute actively to the setting and achievement of personal, team, and department goals and benchmarks.
• Attend department staff meetings, insurance company provider relations meetings, team meetings, and any other assigned meetings.
• Abide strictly by HIPAA law by maintaining confidentiality and only accessing information as needed for job functions.
• Assist in the orientation and training of new employees.
• Perform other duties as assigned.

Requirements

• High School Diploma/GED
• Critical thinking skills, problem-solving skills, and follow-through skills
• Team player; ability to communicate excellently with others in written and verbal communications
• Understanding of accounts receivable process
• Basic understanding of medical services and insurance companies
• Intermediate level experience using MS Office: Excel, Word, and Outlook
• Keyboarding skills
• Previous revenue cycle experience in medical billing and insurance claims processing preferred, but not required.

Benefits

• Work from home option available after completing 90 days of employment and meeting department WFH requirements.