High School Diploma required; college degree preferred., Minimum of 5 years of experience in hospital and physician claims follow-up and denials management., Strong proficiency in Microsoft applications and various hospital EMRs and billing systems., Excellent written and oral communication, organizational, and interpersonal skills..
Key responsabilities:
Complete timely and thorough follow-up on unresolved hospital and physician claims.
Manage denied claims and determine the root cause of denials.
Prepare and submit appeals and reconsiderations to health plans.
Adapt quickly to proprietary tools and technology as needed.
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Infinx Healthcare provides innovative and scalable prior authorization and revenue cycle management solutions for healthcare providers, hospitals, imaging centers, and laboratories. Combining intelligent, cloud-based software driven by artificial intelligence and automation, with exception handling by our certified prior authorization and billing specialists, Infinx helps clients preserve and capture more revenue, enabling them to shift focus from burdensome administrative details to billable patient care.
Ni2 Health is actively recruiting an Accounts Receivable Specialist to join our Revenue Cycle Team. The ideal candidate is action oriented and looking to learn and grow with Ni2 to advance within the organization. The Accounts Receivable Specialist will:
Have proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC and Provider-based billing and AR follow-up knowledge
Have a solid understanding of billing regulations related to Medicare and Medicare Advantage
Be able to function independently to complete timely and thorough follow-up on unresolved hospital and physician claims
Have strong proficiency in managing denied claims, including the ability to determine the root cause of denials, and providing requested information to health plans to resolve identified issues
Have a strong proficiency in preparing and submitting appeals and reconsiderations to health plans
Adapt quickly to proprietary tools and technology
Other duties as assigned
ABOUT NI2 HEALTH Awarded Consulting Magazine’s “Best Small Firms to Work for 2019 and 2020,” Ni2 Health ranks highly in employee morale and firm culture. At Ni2 Health, you will discover challenges that excite you as you develop professionally and explore different career paths based on your interests and abilities. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done. Breaking the mold is a vital component to what we do at Ni2, and driving sustained value to our clients is paramount. Our team members and clients are completely satisfied with our service-based approach. If you are looking to be mentored as a new graduate, come explore Ni2 Health (www.ni2health.com) and join a team of stars.
APPLICANT REQUIREMENTS AND SKILLS Applicants must submit a full CV, cover letter and updated resume to be considered. Position is remote. Minimum Job Requirements
High School Diploma (College degree preferred)
Minimum of 5 years of Hospital and Physician claims follow-up and denials management required
Excellent written and oral communication skills
Excellent organizational, time management, and interpersonal skills
Proficiency in Microsoft applications
Proficiency with various hospital EMRs: Cerner, Epic, McKesson, CPSI, Meditech, Etc.
Proficiency with various billing systems: Waystar, SSI, Quadax, Availity, NaviNet, etc.
General Skills
Team player
Independent thinker and problem-solver
Commitment to core values of Team, Integrity, Growth, and Innovation
Compensation Package
Hourly wage based on experience
Full benefits to include 401k with company match, progressive PTO policy with paid holidays
Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory.