FinThrive · 14 hours ago

AR Recovery Analyst III

United States

Full-time

Remote

Mid, Senior Level

5+ years exp

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Responsibilities

Learn and understand our Rubixis 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

Qualification

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Hospital BillingMedicaid payer rulesInsurance follow-upUB04 Facility PricingRevenue cycle knowledgeHIT systemsMS Excel

Required

5+ years Hospital Billing with follow up experience, with advanced knowledge of all pay or types, who will be able to manage day-to-day operational tasks associated with medical insurance billing and follow up

Knowledge of Medicaid payer rules, processes, including how to interpret denial reasons, how to submit appeals to Medicaid payer, and access Medicaid portals

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