Location: Colorado Springs - This position requires being onsite
Come work for a company that is transforming the industry!
We are Ascend, one of the highest volume clinical laboratories in the United States. With the use of the most advanced tools and technology, we process millions of tests each month. For over 30 years, we have been delivering industry-leading service and excellence in testing. At Ascend, we are relentless about innovation and growing to pioneer the future of clinical and environmental laboratory testing.
Ascend is unlike most companies, offering the discipline of a healthcare leader and the mentality of a tech startup. As a company that is on the leading edge, we are seeking individuals with a similar mindset who enjoy a dynamic, fast-paced environment.
The A/R Representative is responsible for researching, analyzing, billing, and collection of all patient accounts assigned. Performs routine eligibility and benefit checks. Researches, appeals, and resolves claim rejections, underpayments, and denials with appropriate payer. Associates degree or higher in Healthcare or Accounting preferred or a minimum of 3 years billing experience in a health care environment.
Responsible for all areas of the revenue management life cycle.
Obtains necessary information critical to submitting clean claims which includes contacting physicians for accurate coding and billing information, performing eligibility and benefit checks and reviewing billing information prior to submission of the claim.
Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence.
Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payer.
Reviews and interprets payer remittances to determine appropriate action to be taken on denied claims.
Identify root cause of claim exceptions; resolve and/or escalate issues.
Analyzes outstanding account balances and determines plan of action to resolve.
Determine and apply appropriate business action in absence of policies or in cases of ambiguity.
Identifies and interprets policies related to exceptions.
Escalates issues as needed.
Contacts payers for status of unpaid claims. Maintains knowledge/understanding of third party payer regulations for managed care, Medicare, and Medicaid accounts
Maintains patient confidentiality according to compliance policies and HIPAA.
3 years experience in the healthcare field; experience in laboratory revenue management preferred.
Knowledge of CPT, ICD-10 and HCPCS codes required.
Understanding of Medicare, Medicare Advantage, Medicaid, PPO, HMO, IPA and other pay or documentation, compliance and coding requirements.
Excellent customer service skills.
High degree of problem solving abilities required.
Medical terminology preferred.
Experience with healthcare coding and auditing preferred.
Strong organizational skills and the ability to prioritize assignments.
Ability to work under minimal supervision.
Ascend provides a competitive benefit package which includes the following (eligibility requirements apply): Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Health Care and Dependent Care Flexible Spending Accounts, Life Insurance, AD&D, Work/Life Resources (including Employee Assistance Program) Leave Benefits: Paid holidays, annual Paid Time Off (includes paid state /local paid leave where required), Short-term Disability, Long-term Disability, Other leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption leave) Retirement Benefits: Contributory pension plan and Savings Plan (401k).
The compensation range being offered for this role is $19-$21 hourly. Compensation and benefits information for this position is being included in accordance with requirements of the Colorado Equal Pay for Equal Work Act. Please note that the salary range listed relate specifically to roles located in Colorado and that salary ranges for similar positions located in other Ascend Clinical locations may vary. In addition, salaries may vary for different individuals in the same role based on several factors, including but not limited to individual competencies, education/professional certifications, experience and performance in the role.
Ascend is an Equal Opportunity Employer - M/F/Disabled/Veteran
If you are interested in applying to Ascend and need special assistance or accommodation due to a disability to complete any forms or to otherwise participate in the resume submission process, please contact a member of our Human Resources team by sending an e-mail message to firstname.lastname@example.org. This contact is for accommodation requests for individuals with disabilities only and cannot be used to inquire about the status of applications.