Payment Recovery Specialist jobs in Idaho
Payment Recovery Specialist is responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Being a Payment Recovery Specialist monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Additionally, Payment Recovery Specialist requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. To be a Payment Recovery Specialist typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Recently Added Payment Recovery Specialist jobs
Collections Specialist
- Northpoint Recovery
-
Meridian, ID
FULL_TIME
-
Job Title: Collections Specialist
Reports To: Billing & Collection Supervisor
Northpoint Recovery Holdings, LLC, established in 2009, is a growing, behavioral healthcare treatment platform treating adults with substance use disorder and co-occurring conditions under the Northpoint Recovery brand and adolescents with mental healthcare conditions under the Imagine by Northpoint brand. The Company serves patients with commercial health insurance and is an in-network model. Northpoint has grown from two facilities to fifteen today entirely on a de novo basis with plans to expand rapidly in both existing and new markets. Organizational values include humility, heart, inspiration and conviction. Our commitment to excellence means doing good for others and engaging in innovative empirical based treatment. In short, our mission is to help people get their lives back and show them respect and empathy in the process.
POSITION SUMMARY: As a key member of the Revenue Cycle Management team, this person is responsible for the ongoing collection, denial management, and accounts receivable of assigned accounts. This person will manage and collect outstanding balances from insurance companies for services rendered to Northpoint patients and clients. This role involves working closely with patients, insurance companies, and Northpoint providers to ensure that all payments are collected in a timely manner, and payer denials/rejections are worked and followed up on to exhaustion, or payment of services. The ideal candidate will have a solid understanding of the entire billing life cycle of a patient, to include verifications, pre-authorization, utilization review, appeals, claims submission, claims adjudication, and denials. The ideal candidate will have strong knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems required.
ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING:- Perform collections to ensure receipt of medical claims within twenty-eight (28) days
- Make outbound telephone calls to insurance companies, and utilize payer portals for claims resolution
- Coordinate with insurance companies to ensure timely payment for services rendered
- Follow existing billing and collection protocols to ensure accurate and timely reimbursement
- Review accounts receivable accounts to ensure accurate reimbursement and identify payer issues affecting payment delays
- Contact payers to get a clear understanding of denials and changes needed to receive payment
- Prepare appeals, when necessary, when claim denials are payer errors
- Document all correspondence with payers in the billing system
- Collaborate and coordinate with Utilization Review for prior authorization/medical necessity documentation
- Knowledge of CMS and Third-party payer regulations and guidelines
- Thorough understanding of Explanation of Benefits
- Maintain accurate records of patient billing and payment information
- Provide reports to management on outstanding balances and collections activity
- Provide excellent communication and customer service skills
- Utilize a strong understanding of insurance billing and coding requirements
- Maintain active working knowledge of Northpoint billing and reimbursement requirements by payer
- Collaborate with RCM team and other departments to ensure successful execution of assigned duties and priorities
- Maintain confidentiality in accordance with established policies and procedures and standards of care
- Adhere to all Company policies and procedures
- Perform other job-related duties as assigned
- Minimum of three (3) years of collections/billing reimbursement in a healthcare system
- Minimum of two (2) years of experience in billing, payer relations or medical A/R
- Minimum of one (1) year of experience in substance use disorder and/or mental health setting required; experience with a facility providing multiple levels of care preferred
- Experience working with commercial medical insurance billing, as well as Medicaid, claims submission, and the technical aspects of billing software
- All-in-one practice management, clearing house and billing software required
- Proficient in navigating through payer portals
- Must be proficient in CPT, HCPCS, and ICD-10 Codes, DSMS and ASAM criteria, data entry for various third party billing and payers, and their reimbursement and denial patterns
- Ability to work well in a team environment, with ability to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems required
- KIPU or similar EHR/EMR experience preferred
- Strong organizational skills with the ability to multitask
- Familiarity with major payer guidelines
- Agility in managing multiple priorities concurrently
- Meticulous attention to detail and high level of accuracy is key
- Demonstrated ability to develop both internal and external working relationships
- Proven skills in working independently on several projects concurrently
- Sense of ethics, integrity, and confidentiality about employee and business issues
- Ability to work independently and within a dynamic team environment
- Maintain professional and technical knowledge
- Excellent critical thinking skills and organizational abilities
- Excellent communication skills; ability to communicate clearly and concisely, verbally and in writing
- Quickly and effectively identify and resolve problematic situations
- Comfortable analyzing information and dealing with complexity
- Attention to detail and accuracy
- Able to handle confidential material in a reliable manner
- Ability to interact and communicate with individuals at all levels of organization
- Ability to perform several tasks concurrently with ease and professionalism
- Ability to effectively prioritize workload in a fast-paced environment
- Proficiency with Microsoft Office Suite
- Must be at least twenty-one (21) years of age
- None
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.- Job performed at a desk in front of a computer
- Requires heavy use of mouse and keyboard
- Indoor office environment
- Though this position is not permanently located in a treatment facility setting, exposure to emotionally impaired patients is possible, and may be frequent. Stress ranges from low to high, depending on the situation
- Completion of a tuberculin screening during first week of employment
- Completion of a pre-employment drug screening, post-accident and upon reasonable suspicion of use
- Completion of orientation and required paperwork prior to reporting to work
- Demonstrated computer literacy
- Attendance at all mandatory staff development and training
- Completion of background and professional reference checks
Compensation- $21.00 - $24.00 per hour
- 85% Employer Paid Medical premium for employee level coverage – spouse and dependent premiums are subsidized at 50%
- 100% Employer Paid Basic Life Insurance equal to 1x annual salary
- 100% Employer Paid Employee Assistance Program
- Voluntary Dental, Vision, Short-Term Disability, and Supplemental Life & AD&D Insurance
- Pre-tax Savings Accounts for all IRS-allowable medical and dependent care expenses
- Generous Paid Time Off plan and 10 paid holidays annually
- Employee Referral Bonuses
- 401K Retirement Plan & Employer Match
- Free counseling services and resources for emotional, physical and financial wellbeing
- Consumer discounts through LifeMart
- Free parking!
- Meridian, Idaho; reliably commute or plan to relocate before starting work (Required)
Employees with potential access to protected health information must comply with all procedures and guidelines governed by HIPAA.
Northpoint is an Equal Opportunity Employer. Northpoint is an at-will employer. Employment may be terminated at any time by employee, or employer with or without notice. - 16 Days Ago
Business Development Specialist
- Northpoint Recovery
-
Boise, ID
FULL_TIME
- Job Title: Business Development SpecialistReports To: Corporate Director of Business Development (Imagine, Adolescent Services)Northpoint Recovery Holdings, LLC, established in 2009, is a growing, beh...
- 11 Days Ago
Accounts Receivable (Billing) Specialist
- Northpoint Recovery
-
Meridian, ID
FULL_TIME
- Job Title: Accounts Receivable (Billing) Specialist Reports To: Billing SupervisorNorthpoint Recovery Holdings, LLC, established in 2009, is a growing, behavioral healthcare treatment platform treatin...
- 20 Days Ago
Patient Financial and Eligibility Specialist (Weekend Shift)
- Northpoint Recovery
-
Meridian, ID
FULL_TIME
- Job Title: Patient Financial and Eligibility Specialist (Weekend Shift)Reports To: Patient Financial and Eligibility Supervisor Northpoint Recovery Holdings, LLC, established in 2009, is a growing, be...
- 16 Days Ago
Collections Specialist
- Northpoint Recovery Holdings LLC
-
Meridian, ID
FULL_TIME
- Job Title: Collections Specialist Reports To: Billing & Collection Supervisor Northpoint Recovery Holdings, LLC, established in 2009, is a growing, behavioral healthcare treatment platform treating ad...
- 19 Days Ago
Accounts Receivable (Billing) Specialist
- Northpoint Recovery Holdings LLC
-
Meridian, ID
FULL_TIME
- Job Title: Accounts Receivable (Billing) Specialist Reports To: Billing Supervisor Northpoint Recovery Holdings, LLC, established in 2009, is a growing, behavioral healthcare treatment platform treati...
- 20 Days Ago
Payment Recovery Specialist jobs at Popular Companies
Recovery Specialist
- Centerstone
-
Carterville, IL
- Centerstone is among the nation's leading nonprofit behavioral health systems with thousands of employees dedicated to d...
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Recovery Specialist
- Hillside Detox
-
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Recovery Specialist
- Behavioral Health Network
-
Greenfield, MA
- Apply your experience working with individuals on the road to recovery from drug and alcohol addiction at BHN! Join our ...
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Recovery Specialist
- High Point Treatment Center, Inc.
-
New Bedford, MA
- Recovery Specialist Program/Location: Women's Addiction Treatment Center (WATC)/ New Bedford Education: High School dipl...
- 6/10/2024 12:00:00 AM
Recovery Specialist
- Priority Staffing Group, Ltd.
-
Marion, IL
- Job Description Job Description Priority Staffing Group is hiring a Recovery Specialist for one of Southern Illinois lar...
- 6/10/2024 12:00:00 AM
Recovery Specialist
- Hertz
-
Oklahoma City, OK
- Job Description A Day in the Life: The Recovery Specialist is responsible for managing claims including billing, collect...
- 6/9/2024 12:00:00 AM
Recovery Specialist
- AtlantiCare
-
Atlantic City, NJ
- Job Description POSITION SUMMARY Reports To: Manager/ Unit Director Training: HSFAC required, Zero Suicide training and ...
- 6/9/2024 12:00:00 AM
Recovery Specialist
- THE CENTER FOR PREVENTION AND COUNSELING
-
Newton, NJ
- Job Description Job Description On-call, Per-diem positions Provide non-clinical assistance and peer recovery support fo...
- 6/9/2024 12:00:00 AM
About Idaho
Idaho (/ˈaɪdəhoʊ/ (listen)) is a state in the northwestern region of the United States. It borders the state of Montana to the east and northeast, Wyoming to the east, Nevada and Utah to the south, and Washington and Oregon to the west. To the north, it shares a small portion of the Canadian border with the province of British Columbia. With a population of approximately 1.7 million and an area of 83,569 square miles (216,440 km2), Idaho is the 14th largest, the 12th least populous and the 7th least densely populated of the 50 U.S. states. The state's capital and largest city is Boise.
Idaho p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Payment Recovery Specialist jobs
$45,328 to $59,641