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iSalus - Medical AR Collections Specialist (Remote, US/CAN)

DrChrono

DrChrono

Indianapolis, IN, USA
Posted on Saturday, June 10, 2023

Medical AR Collection Specialist - iSalus (Remote, US/CAN)

EverCommerce [Nasdaq: EVCM] is a leading service commerce platform, providing vertically tailored, integrated SaaS solutions that help more than 600,000 global service-based businesses accelerate growth, streamline operations, and increase retention. Our modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals. Specializing in Home & Field Services, Health Services, and Fitness & Wellness industries, EverCommerce solutions include end-to-end business management software, embedded payment acceptance, marketing technology, and customer engagement applications.

We are building an extraordinary company and looking for talented, energetic, and motivated people to join our team. You can learn more about our Company, Culture and Values here: https://www.evercommerce.com/about-us/careers/

We are looking for a Medical AR Collection Specialist to focus on our {Revenue Cycle Management Services client base. iSalus Healthcare 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 ideal candidate is extremely detail-oriented and has 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 processed effectively.

Core Responsibilities:

  • 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 required.

  • 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 reviews.

Additional Responsibilities:

  • Performs all duties as directed by Team Lead or Director of RCM Services.

Reporting Responsibilities:

  • 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 address, etc.

  • Presents to Team Lead unusual circumstances that may include adjustments, denials, fee schedules, claims, contracts, etc.

Skills & Qualification:

  • High school diploma or equivalent required;

  • Three years 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.

Where:
The EverCommerce team is distributed globally, with teams in the U.S., Canada, the U.K., Jordan, New Zealand, and Australia. With a widely distributed team, we are used to working remotely across different time zones. This role can be based anywhere in the United States or Canada – if you’re close to one of our offices, we can set you up in-office or you can work 100% remotely. Please note that you must be eligible to work without sponsorship to qualify for this position, and this role may require travel to our Corporate Headquarters in Denver, Colorado, or to other office locations around North America.

Benefits & Perks:

  • Flexibility to work where/how you want within your country of employment – in-office, remote, or hybrid

  • Robust health and wellness benefits, including an annual wellness stipend

  • Continued investment in your professional development through Udemy

  • 401k or RRSP with company match

  • Annual wellness stipend

  • Flexible and generous paid time off

  • Employee Stock Purchase Program

Compensation:

The target base compensation for this position is $16.00 to $20.00 USD per hour in most US locations. Final offer amounts are determined by multiple factors including location, local market variances, and candidate experience and expertise, and may vary from the amounts listed above.

EverCommerce is an equal opportunity employer and we 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!