AR Research and Resolution Representative

Overview

Job Posting Closing Date:
Open until Filled. Where do you belong? Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work.

We care about your success. USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.

This job description covers the AR Research & Resolution Representative role focused on researching and resolving claims to maximize cash collections, minimize denials and lost revenue, model the organization's values, and work on individual and project denial and claim assignments.

• Performs various complex duties, including, but not limited to, working outstanding insurance or contract claims and resolving claim edits and denials.
• Maintains worklists and assignments at acceptable levels based on performance targets, KPI, and quality scores.
• Conducts all insurance or contract follow-up aspects, including interfacing with payers, communicating with internal and external business partners by conducting phone calls, and utilizing web-based tools.
• Escalates items promptly.
• Identifies opportunities to improve department workflows and cross-functional processes.
• Contributes to the development and maintenance of company-wide payer matrices and updates to Standard Operating Procedures.
• Serves as an active contributor in team meetings.
• Maintains knowledge of current government and carrier regulations relevant to the industry.
• Models the core values of the organization.
• Performs and assists with other department duties as needed.

• Knowledge of and skill in using personal computers in a Windows environment, emphasizing basic word processing and data entry onto spreadsheet programs.
• Knowledge of medical insurance and its terminology.
• Basic knowledge of ICD-10 and CPT codes.
• Ability to work independently and as an effective team contributor.
• Ability to pay close attention to detail.
• Ability to identify, research, and solve problems and discrepancies.
• Ability to communicate courteously and professionally.
• Ability to maintain confidentiality.
• Ability to process assigned duties in an organized manner.
• Ability to perform basic mathematical calculations such as adding, subtracting, multiplying, and dividing.
• Ability to effectively perform in a multi-task work environment.
• Ability to work overtime when needed.
• Ability to work effectively in remote settings.

High school diploma or equivalent. Experience in medical insurance, billing experience, or equivalent training or education is helpful, but not required.

Standard office or remote work environment requiring prolonged periods of computer use. May occasionally require lifting files or materials up to 15 pounds. Visual and manual dexterity required for computer and claim documentation work.

Hourly Wage: $14.53 - $26.88. The hourly starting wage is $18.50. Hourly rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.

• Comprehensive and competitive benefits package designed to support the health, well-being, and financial security of our employees. Benefits may vary based on role, location, and employment status, but generally include:
• Medical, dental, and vision insurance options
• Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)
• 401(k) employee and employer contributions
• Paid time off, including vacation, sick leave, and company holidays
• Paid parental leave & family support benefits
• Short-term and long-term disability insurance
• Life and accidental death & dismemberment (AD&D) insurance
• Employee assistance programs & wellness…