AR Specialist Hospital Specific - REMOTE

Job Description

Job Description

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our highly skilled Revenue Cycle Specialist to fill the role of Accounts Receivable Specialist. We are a 100% remote team supporting our clients across the United States! See us at www.quadristeam.com.

We are looking for high performing, passionate and results driven team members to join our group.

Job FOCUS :

This position is responsible for Billing, Re-Billing, Post-payment and Account Follow-up and / or grievance preparation of assigned Client EMR Accounts Receivable. The responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and other insurance groups. Partners with other team members and health plans to facilitate the appropriate and prompt payment of claims. This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision and values by representing the company in a caring and professional manner.

Primary / Essential Expectations For Success :

The Primary responsibilities and essential job duties effectively and efficiently performed include but are not limited to the following :

BILLING

• Reviews and / or scrubs final billed initial claims for accuracy and completeness prior to submitting to payer
• Calculates Tier, Outlier, DRG and / or other Fee Schedule based reimbursement
• Submits electronic and / or hard copy claims with any attachments as per the contract timely filing criteria
• Documents all account activity in the hospital system and The Q with clear and concise notes

INSURANCE FOLLOW-UP

POST PAYMENT REVIEW

Physical / Mental Demands, Environment :

Skills Needed to Be Successful :

Core Talent Essentials :

Certifications :