Early Out Specialist

Description

Job Grade: 2

Purpose of Job:

The Early Out Specialist is responsible for identifying, triaging and resolving billing issues at the beginning of the AR rev cycle. The ideal candidate will be results-driven and able to focus on key performance metrics to ensure quality and efficiency standards set forth by the company are met.

Main Duties:

• Increase cash performance before day 60 through effective follow ups:

         - Contact insurance payers, employers, or responsible parties to check status on high priority accounts;

         - Reduce the number of unpaid accounts by identifying proper bill-to and resubmission needs by client, jurisdiction and/or payer;

         - Identify underpayments and submit prescribed appeals for additional reimbursement;

         - Identify and confirm carrier payments that were received directly by the client.

• Reduced the number of aged or uncollectable accounts through effective follow-up:

         - Reduce the age of uncollectable accounts through early denial detection;

         - Reduce the number of accounts billed to problem employers through proper "Do Not Take" review and client notification;

         - Reduce the number of days in AR for uncollectable accounts through proper close and return processes.

• Research, compile, maintain and manage quality data related to billing and collection efforts.
• Provide feedback to management regarding client billing issues, denial trends and payer performance.

Requirements

Knowledge/Skills/Abilities:

• Ability to spot trends, quantify issues and provide feedback to UHS leadership.
• Communicate professionally and effectively with employers, insurance payers, and UHS customers.
• Demonstrates a strong work ethic by managing time effectively and completing all tasks assigned.
• Ability to balance productivity with a high-quality level of work standards.
• Adaptable with the ability to learn and apply knowledge of new programs and procedures quickly.
• Maintain confidentiality and appropriate HIPAA compliance guidelines.

Qualifications:

• High School diploma required
• Previous health care billing and AR management experience preferred.
• General Office Knowledge

        - MS office products (Outlook, Excel, Word)

        - Phone and email etiquette