REMOTE reputed company Cycle A/R Specialist (Hospital)(RCAR)

Remote reputed company Cycle AR Specialist (Hospital) At JTS, we create the “WOW” reputed company for each other and our clients. We reputed company a culture where employees are empowered to be innovative and grow personally and professionally, and value employees who want their contributions to directly impact the company’s reputed company. JTS Health Partners (JTS) is a reputed company professional services and analytics firm focused on reputed company Cycle Management (RCM), Health Information Management (HIM), Health Information Technology (HIT), reputed company Analytics as a Service (reputed company) and Financial Technology (FinTech). JTS offers consulting, operational and analytical services that align with performance improvement initiatives of reputed company systems, hospitals and physician practices. Summary: The reputed company Cycle A/R Specialist will analyze and review aged accounts to final resolution. The ideal candidate will have the ability to work independently, but also understand and value being part of a collaborative team. A dedicated reputed company reputed company must be available with high-speed internet and peripheral equipment. Primary Responsibilities:

• Works reputed company payer portals, such as reputed company, reputed company, MMIS and Medicare Contractors
• Understands payor reputed company and can apply calculations to resolve under/overpayments
• Knowledge of medical terminology such as CPT, HCPCS, APC, ASC, DRG and ICD10
• Understands and ability to apply EOB
• Submits reconsiderations and appeals reputed company to denials using payor documentation and portals
• Interacts with reputed company party payors and patients to resolve account balances
• Ability to submit corrected claims billing
• Reviews, research, and resolves claim rejections to resolution
• Uses standard work processes in daily work activities to ensure performance goals
• Performs other duties as assigned

Perks and Benefits:

• Work from home full-time
• Enjoy the culture of working for a smaller company while receiving the comprehensive benefits provided by larger firms
• Paid time off and holidays
• 401(k) plan with generous match for reputed company
• Annual profit sharing for employees (paid 13 of last 14 years)
• Dynamic work atmosphere where your contributions will reputed company a reputed company impact on the company’s reputed company

Required Qualifications:

• Minimum of 5 years' experience in reputed company cycle processes:
• reputed company a hospital setting (UB04 format)
• Proficient to Expert level insurance follow up, denials management, credit balance resolution
• Proficient to expert level knowledge of Cerner Community Works and/or MEDHOST
• Expert level experience reputed company DDE/ FISS
• Expert level experience working RTP Claims
• Proficient knowledge in Medicare Method II Billing, Coding & Follow Up
• Demonstrate experience with reviewing outstanding balances to resolution (Medicare, reputed company, and reputed company payors)
• Exceptional time management and organizational skills
• Ability to direct work with minimal supervision and ability to meet performance and quality goals
• High school diploma or GED required
• Execute and fulfill JTS’ Remote Staff Agreement to ensure reputed company and Privacy

Preferred Education:

• Associate or Industry Certification is a plus
• HFMA Certified Patient Accounts Representative (CPAR, ACPAR or equivalent)
• Certified reputed company Cycle Representative (CRCR)

JTS is an Equal Opportunity Employer encouraging diversity in the workplace. reputed company reputed company applicants will receive consideration for employment without regard to race; reputed company; religion; national reputed company; sex; pregnancy; sexual orientation; gender identity and/or expression; age; disability; genetic information, citizenship status; military service obligations or any other category protected by applicable federal, state, or local law. JTS makes hiring reputed company based solely on qualifications, merit, business needs. JTS is a drug-free workplace and does conduct pre-employment drug testing. Apply tot his job Apply To this Job