MD EyeCare Services Corporate

Medical Billing Associate-Research & Resolution

US-CO-Denver
2 weeks ago
Job ID
2017-2006
# of Openings
1
Category
EyeCare Services Partners
Type
Regular Full-Time

Overview

Research & Resolution Associate needed for our Team

 

The position of Research & Resolution Associate (RRA) is responsible for the full cycle pursuit of investigating and resolving open invoices and credits. You will conduct extensive research in multiple software platforms to resolve outstanding balances in accounts receivable. The RRA must effectively communicate and coordinate with direct co-workers, employees at branch locations, and the representatives of commercial and state agencies. You will promptly respond to escalated inquiries and requests related to open account balances. The RRA must maintain current knowledge of and adhere to relevant payer and regulatory guidelines for medical insurance claims processing and reimbursement. The position is a part of the Billing Team and will work to support the goals of the department.

Responsibilities

Research & Resolution Associate responsibilities vary, but may include:

  • Identify, prioritize and assign outstanding balances based on research and reports to the RRAs.
  • Research and resolve open invoices and credits by utilizing company software and tools.
  • Recognize and communicate trends in problematic accounts and payers to management.
  • Work all monthly-predetermined balances through adjudication and resolution.
  • Document all efforts to resolve balances utilizing designated software and reports.
  • Build and maintain effective relationships with team members and representatives of commercial and state payers relevant to your open balances.
  • Review each payer’s specific guidelines (rates, filing/appeal deadlines, forms, etc.) as needed.
  • Ensure that all claims with monthly-predetermined balances are completed through adjudication and resolution.
  • Ensure documentation of all efforts to resolve balances utilizing designated software and reports..
  • Review each payer’s specific guidelines (rates, filing/appeal deadlines, forms, etc.) as needed.
  • Maintain current knowledge of and adhere to relevant payer and regulatory guidelines for medical insurance claims processing and reimbursement.

 

Qualifications

Research & Resolution Associate Qualifications:

  • Minimum of two years of verifiable experience in medical billing field.
  • 2-5 years of AR and insurance experience.
  • AR follow up experience with multiple payers.

  • Ambulatory billing experience a plus but not required.

  • Ability to analyze insurance payments and resolve accounts not previously paid or denied.

  • Understanding how to read EOB and analyze denials for payment resolution.

  • High School Diploma.

 

What We Provide:

  • Benefits that include comprehensive medical, dental and optical coverage.
  • Company paid life insurance.
  • Paid holidays and generous paid time off.
  • Paid covered parking.
  • Team oriented working environment where you are heard and respected.
  • Clear career ladder opportunities

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