Richter LTPAC Performance Advisor due to growth has an opening for a REMOTE Commercial/Managed Care Billing Specialist due to our increased clientele!

Richter is a privately owned and operated company that has been specializing in RCM accounting and clinical/financial consulting for our clients for over twenty years! Richter Healthcare Consulting is currently seeking a Third-Party Billing Specialist specializing in PCC and LTC to join us in providing care, innovations, and results to every client experience!

Job Responsibilities

• Completes billing and collection efforts on behalf of all third party payer types
• Performs patient account analysis
• Completes basic Electronic Medical Records functions
• Generates and submits clean claims for all pay sources timely and accurately
• Documents billing and collection activities in accordance with Richter Healthcare Consultants policy and procedure
• Works effectively within the client and/or Richter Healthcare Consultants billing systems
• Effectively communicates and responds to inquiries by client staff, co-workers, and other party representatives
• Analyzes and problem-solves when faced with obstacles
• Effectively prioritizes and manages time to accomplish project goals and expectations
• Communicates status’ of projects to team leader/manager on a daily or weekly basis depending on project requirements
• Prioritizes accounts by age and amounts
• Analyzes each account to verify the accuracy of the balance
• Resubmits and/or follow-up on outstanding accounts
• Performs all denial management and collections procedures to obtain payment
• Documents all activities on client AR thoroughly in billing software
• Reports project status to client weekly via reports, documentation in software or AR calls as directed
• Reviews all claims prior (triple check process) to submission to ensure compliance
• Reviews outstanding Accounts Receivables and creates an action plan to receive payment
• Responds to client's questions within 24 hrs.
• Identifies and escalates potential at-risk accounts the following to direct supervision
• Performs other duties as assigned

Qualifications:

• High School Diploma or equivalent, College Degree preferred but not required
• Proficiency in Microsoft Office Suite
• Experience with Electronic Medical Records Software, Point Click Care, Waystar Clearinghouse, e-solutions, preferred but not required
• Ability to communicate professionally
• Must possess critical thinking skills and the ability to work independently
• Must possess extensive knowledge of third party payer types, as well as laws, regulations, and guidelines that pertain to healthcare providers
• Minimum two years of claims processing experience preferably with Skilled Nursing or Long-Term Care billing

Active Employee States Preferred: Arkansas, Georgia, Florida, Indiana, Texas, Tennessee, North Carolina, Ohio, Oklahoma

Check out our website or apply directly at https://www.richterhc.com/ !

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Do you have a preferred area of billing in LTC?
• Which states have you billed previously?
• What is your preferred hourly rate?

Experience:

• PCC: 1 year (Preferred)
• LTC/SNF: 1 year (Preferred)
• Availity: 1 year (Preferred)
• Commercial (in LTC): 1 year (Preferred)

Work Location: Remote

Please Note :
blog.nvalabs.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blog.nvalabs.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.