Revenue Cycle Specialist II: Collections, Special Projects

TEKsystems
$22.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Texas, Houston
Apr 10, 2025
Description This role's responsibility is to seek out and maximize reimbursement from various insurance plans by resolving complicated denials, short payments, billing errors, and other claim issues. Work assigned lists of outstanding claim balances and patient accounts with multifaceted issues across different payers and patients Identify trends, conduct follow-up, and perform root cause analysis on unpaid and underpaid insurance claims across different payers Perform actions towards remediation of outstanding balances according to policy and procedure; including but not limited to in-depth research, appeals, rebilling, obtaining insurance authorizations or referrals, correcting coding, calling the payer or clinic, and utilizing payor portals Resolve issues related to a patient's coordination of benefits (COB), demographic discrepancies, insurance eligibility or authorizations, and referrals as needed Address patient benefit-related denials, including phone verification of plan requirements, financial risk, as well as other factors that may impact reimbursement Navigate through various payer systems, provider portals, and internal applications to ensure timely and accurate claim resolution Regularly calls payers, employers, and patients Demonstrate ability to build strategic business relationships with internal and external partners (i.e., Billing & Coding Team, Registration Department, Credit Department, clinical teammates, and the payer(s)) Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and company policies Meet or exceed team metric expectations for production, quality, and adjustment accuracy Additional Skills & Qualifications* Required: Revenue cycle experience, collections, insurance verifications, authorizations. oHighschool Diploma or equivalent (w/ proof of documentation) oIntermediate knowledge and skills in Microsoft Office tools; Excel, PowerPoint, Word, and Outlook oExperience working in healthcare revenue cycle; emphasis on collections (2+ years) oAbility to confidently place phone calls to payers, clinics and patients Preferred: oAssociate or bachelor's degree Dialysis experience is a huge plus. Experience Level Expert Level Pay and Benefits The pay range for this position is $22.00 - $22.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Apr 18, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.