Welcome to Allscripts! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Allscripts is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information.
The primary purpose of this role is responsibility for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for CHMB clients. The position involves detailed research and follow-up on medical insurance claims and the careful preparation of appeals and responses to efficiently interact with insurance carriers and resolve the claim. The position supports the company's overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and showing results.
Strong customer service skills; answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information
Timely management of unpaid claims as assigned, through the use of the client's office manager; aging reports; correspondence; Clearinghouse and PM rejections; SharePoint
Effectively handle complex payer denials; responsible to ensure that secondary claims are sent and paid
Monitoring and reconciliation of claims to include:
Patient balance report
Credits and refunds
Manage and track information requests to client.
Answer and resolve all incoming calls and requests in a timely manner.
Complies and enforces and policies and procedures
Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements; Specific goals include 1,400 accounts worked per month
Other duties as assigned
Technical: Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with Microsoft: Access and PowerPoint, Crystal reports and various billing systems, such as NextGen, Pro and Allscripts.
Personal: Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure environment.
Communication: Ability to read, analyze and interpret complex documents, including technical journals and service agreements. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations on to senior management. Ability to write reports, business correspondence, financial forecasts and budgets.
Math & Reasoning:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent, and to interpret financial reports and graphs. Ability to use critical thinking skills to apply principles of logic and analytical thinking to practical problems.
Physical and Environmental Elements:
Physical demands: Ability to sit continuously for up to 2/3 of normal work shift. Ability to stand, walk, stoop, kneel, crouch or crawl, and to reach with hands and arms occasionally. Ability to talk and to hear continuously. Ability to lift up to 25 pounds periodically. Finger dexterity is required frequently for up to 1/3 of the normal work shift.
Vision: Ability to see at close range (20 inches or less), at a distance (clear vision at 20 feet or more), ability to identify and distinguish colors, ability to observe an area that can be seen up and down or to the left and right while eyes are fixed on a given point, three-dimensional vision, ability to judge distances and spatial relationships, and ability to adjust the eye to bring an object into sharp focus.
Work Environment: Employees work in an office with moderate noise levels (such as computers and printers) and controlled temperature conditions. Employees may occasionally operate a vehicle and be exposed to traffic conditions that may include loud noises, fumes, and traffic congestion.
At Allscripts, our greatest strength comes from bringing together talented people with diverse perspectives to support the technology needs of 180,000 physicians, 1,500 hospitals and 10,000 post-acute organizations across the globe. Allscripts offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.
Allscripts policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Allscripts must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire.
From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans
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