Revenue Cycle Associate - Hospital AR Follow Up
Posted on: 6 Apr 2021
Westwood, MA
Job Description
Job Description
Location: Steward Health Care
Posted Date: 3/30/2021
Position Summary
This position is responsible for the resolution of outstanding and/or denied claims based on third party claim processing rules within established timelines. The Revenue Cycle Associate reports to the central business office supervisor or manager.
Key Responsibilities
* Meets goals and objectives in assigned area;
* Complies daily with departmental policies and procedures;
* Performs collection activity to ensure proper resolution and reimbursement on claims;
* Provides thorough, courteous, and professional assistance to coworkers and patients;
* Ensures that all claims are billed and collected and meet all government mandated policies for Integrity and Compliance;
* Collaborates with hospital departments in the resolution of accounts;
* Resolves claims processing issues with third party payers and provide all required information timely; involves patients and family members (where necessary) to ensure timely resolution of claims with insurance companies;
* Resubmits clean and accurate claims to insurance companies in a timely and compliant manner;
* Researches, prepares, and submits appeals to insurance companies;
* Details all actions taken on account with clear and concise notes;
* Monitors and recognizes denials and/or issues that may be trends and escalate to supervisor as needed; and
* Maintain strict confidentiality and adhere to all HIPAA guidelines/regulations.
Required Knowledge and Skills
* Knowledge of basic medical coding/terminology and third-party insurance operating procedures and practices a plus;
* Understands payer guidelines related to effective claim resolution;
* Knowledgeable and proficient with payer websites and other useful resources;
* Knowledge of revenue cycle and/or business office procedures;
* Highly detail oriented and organized;
* Ability to read, understand, and follow oral and written instructions; and
* Ability to establish and maintain effective working relationships and communicate clearly with customers and insurance companies both within and outside of Steward.
Background and Experience
* High school diploma or GED required
* 1-2 years' related experience preferred
* MS Office experience required
Carney Hospital
Boston, MA
What Should I Know About Carney Hospital?
Carney Hospital in Dorchester, Massachusetts, has proudly served the City of Boston and neighboring communities since 1863.
Since 1863, Carney Hospital has served the City of Boston and neighboring communities. Carney Hospital has received the Joint Commission’s Gold Seal of Approval for health care quality and safety and numerous other quality and safety awards, including being designated a Top Hospital for 2014, 2015 and 2017 by the Leapfrog Group. The 159-bed hospital has more than 400 physicians and delivers high-quality to our community where they live. Carney Hospital provides Dorchester and surrounding communities with convenient, local access to quality primary care, emergency medicine and a range of specialties and subspecialties including; critical care, family medicine, cardiology, neurology, orthopedics, ambulatory care and adolescent, adult and geriatric psychiatry.
Carney Hospital operates a stand-alone Emergency Room located in the city of Quincy with on-site diagnostic radiology, including CT scans and ultrasound, pharmacy, and laboratory services. Carney Hospital is part of the Steward Health Care Network.
Carney Hospital is a Steward Family Hospital. Steward Health Care is the largest private, tax-paying physician-led health care network in the United States. Headquartered in Dallas, Texas, Steward operates 37 hospitals in the United States and the country of Malta that regularly receive top awards for quality and safety. The company employs approximately 42,000 health care professionals. The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, over 7,900 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.
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IndustryHealthcare
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No. of Employees1000+
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Website
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Jobs Posted6388
