A / R Research and Resolution Representative

Job Posting

Your career is more than just a job, it's part of your life. Whether you're a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.

USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.

Job Description :

The AR Research & Resolution Representative is responsible for maximizing cash collections, minimizing denials and lost revenue, modeling the organization's values, and working on individual and project denial and claim assignments.

Location : Canton, OH

This position is virtual but does require some in-person meeting attendance in our Canton, OH corporate offices.

Essential Job Functions :

• Performs various complex duties, including, but not limited to, working outstanding insurance or contract claims and resolving claim edits and denials. Maintains worklists and assignments at acceptable levels based on performance targets, KPI, and quality scores.
• Conducts all insurance or contract follow-up aspects, including interfacing with payers, communicating with internal and external business partners by conducting phone calls, and utilizing web-based tools. Escalates items promptly.
• Identifies opportunities to improve department workflows and cross-functional processes. Contributes to the development and maintenance of company-wide payer matrices and updates to Standard Operating Procedures
• Serves as an active contributor in team meetings.
• Maintains knowledge of current government and carrier regulations relevant to the industry.
• Models the core values of the organization.
• Performs and assists with other department duties as needed.

Knowledge, Skills, and Abilities :

Education and Experience :

Physical Demands :

Hourly Rate : $14.53 - $26.88

Hourly rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.