Revenue Cycle Representative

<strong>TRIARQ Health</strong>&nbsp;embodies a fully-integrated, health network and services organization &ndash; taking care of patients from wellness through to treatment and recovery.

Troy, MI

TRIARQ Health

<a href="http://www.triarqhealth.com/" target="_blank" rel="noopener noreferrer">TRIARQ Health</a>&nbsp;is a national physician practice management &amp; value-based solutions company, who is leading the transition in healthcare with our One Team Care approach: one complete solution, one expert partner, and one simple fee. http://www.triarqhealth.com/

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2+ Years Experience

Overview: <strong>Triarq Health</strong>&nbsp;is searching for a confident professional that is adept at insurance receivables recovery with a minimum 2 years of experience. The candidate must have proven productivity track record, great attitude, thrive in a fast paced production environment, be quality oriented, and possess the ability to adapt to a variety of technologies.
Responsibilities: <p><strong>Key</strong>&nbsp;<strong>Responsibilities</strong></p> <ul> <li>Results oriented medical receivables denial management</li> <li>Perform practice reviews and analysis</li> <li>Documentation and follow-up entries on accounts</li> <li>Identifying and updating incomplete or missing information on accounts</li> <li>Operate medical billing software programs and proprietary workflow technology</li> <li>Use strategy and tact with insurance companies to resolve accounts</li> <li>Effectively communicate patient and clinical issues</li> </ul> <p>&nbsp;</p> <p><strong>Key</strong>&nbsp;<strong>Results</strong></p> <ul> <li>Work to reduce then maintain 10% or less 120+ receivables</li> <li>Working denials and rejections in a timely manner&nbsp;</li> <li>Represent multiple practices in a professional and positive manner</li> <li>Meet and exceed daily and monthly productivity goals with 98% accuracy</li> <li>Achieve 100% of client guarantees</li> <li>Issues identified and resolved within an average of 48 hours</li> <li>Effective communications with staff and management</li> </ul>
Requirements: <br /> <ul> <li>2 years combined previous insurance and related health care experience</li> <li>Experience with OBY/GYN and/or Orthopaedics</li> <li>Payer website fluency and IVR&nbsp;</li> <li>Adapt to change, quickly problem solve and escalate issues as appropriate</li> <li>Maintain accuracy of work and compliance with all rules and regulations</li> </ul> .