iSalus Healthcare - Medical AR Collection Specialist (Remote)
Location: Myrtle Point
Posted on: June 6, 2021
You are extremely detail-oriented and have a background in
medical billing. In this role, you will be responsible for
reviewing and conducting claim status on claims for all insurance
carriers for specialty physician practices. You will maintain
accuracy and production to ensure accounts receivable is being
iSalus Healthcare, a division of EverCommerce, is a leading
provider of EMR and Practice Management software and services for
the specialty physician practice marketplace. We provide highly
configurable, customized solutions for specialty physician
practices, along with Revenue Cycle Management solutions and a
unique Chronic Care Management offering for clients nationwide.
Our office is located in Oak Ridge, TN, but our teams are all
working remotely for the foreseeable future. It's preferred, but
not required, that this person will be based within a commutable
distance of our office.
Conducts claim status using clearinghouses, payer web portals,
fax, spreadsheet, and phone processes.
Reviews Medicare claims to identify potential problem areas for
each assigned physician practice and payer.
Reviews and works Medicaid claims to identify potential problem
areas for each assigned physician practice and payer.
Reviews and works Workers' Compensation and No-Fault Claims for
to identify potential problem areas for each assigned facility.
Reviews and works commercial and managed care claims as
Contacts and follows up on Medicare, Medicaid, Blue Cross Blue
Shield, Managed Care, and Commercial insurances to inquire on
unpaid claims as required for claim to pay.
Assembles and forwards appropriate documentation to the Team
Lead for provider related or claim spec issues.
Assembles and forwards appropriate documentation to the appeals
unit or to the coding unit for dispute.
Posts denials and adjustments, and files claims as needed.
- Works from worklists of assigned AR to ensure timely
- Performs all duties as directed by Team Lead or Director of RCM
Reports any consistent errors identified during review that
affect claims from being processed correctly that may include
carrier/billing system issues, filing address, eligibility, payment
- Presents to Team Lead unusual circumstances that may include
adjustments, denials, fee schedules, claims, contracts, etc.
Skills & Qualification:
High school diploma or equivalent required;
Previous medical billing experience with primary emphasis on
collections from Government or Managed Care programs;
Strong computer skills;
Excellent communication skills both oral and written;
- Ability to meet deadlines and work overtime as needed.
Benefits & Perks:
Robust medical, dental, and vision benefits
401(k) with match
Public transportation reimbursement
- Start with 17 vacation days, 8 standard holidays, 2 floating
holidays, and day off to volunteer each year
We are building an extraordinary team and looking for talented,
passionate, and authentic people to join us.
EverCommerce is an equal opportunity employer and value
diversity at our company. We do not discriminate on the basis of
race, religion, color, national origin, gender, sexual orientation,
age, marital status, veteran status, or disability status. We look
forward to reviewing your credentials and getting to know more
about your experience!
Keywords: Evercommerce, Medford , iSalus Healthcare - Medical AR Collection Specialist (Remote), Other , Myrtle Point, Oregon
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