Description
This is a full-time position working M-F during our core business hours, 8:00 am - 4:30 pm central time out of our Bloomington location, open to remote candidates.
Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.
Essential Functions
Ensure professional communication with patients, clinic personnel, and outside vendors over the phone, via email or other written documentation and respond to all inquiries
Maintain a working knowledge of health care plan requirements and health plan networks
Verify and document insurance information as defined by current business practices
Accurately post all payments received from patients, attorney offices and/or insurance companies
Review Explanation of Benefits (EOB), research denials, rejections and/or excessive reductions
Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes
Prepare, submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy
Make outbound phone calls to patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
Review and work any credit balances to determine if patient and/or insurance company refund is applicable
Any and all other duties as assigned
Education and Experience Requirements
High School diploma/GED or equivalent
Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferred
Benefits & Compensation
Actual starting pay will vary based on education, skills, and experience.
We offer a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts - to learn more clickhere.
Essential Requirements
Ability to:
Comply with company policies, procedures, practices and business ethics guidelines.
Complete job required training.
Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)
Demonstrate prompt and reliable attendance
Work in the office during business hours
Travel independently throughout the office (which may include movement from floor to floor); frequent bending, lifting, standing, stooping or sitting for long periods of time may be required
Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines
Communicate and interact in a respectful and professional manner
Prioritize workload while being flexible to meet the expectations of the daily operations
Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions
Understand and execute a variety of instructions
Effectively operate equipment and communicate on and operate the phone system
Teamwork - Be a part of the whole; support each other positively
Environmental Conditions
Office setting
Notes
Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
We participate in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please note the federal requirement.
This position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.