Revenue Cycle Associate

<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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3+ Years Experience

Overview: Responsible for all aspects of follow up and collections on accounts. This includes making outbound calls to payers and accessing payer websites.
Responsibilities: <ul> <li>Identify issues or trends with accounts and provide suggestions for resolution.</li> <li>Obtain claim statuses and denial reasons</li> <li>Accurately document pertinent collection activity performed.</li> </ul> <ul> <li>Review account information and necessary system applications to determine the appropriate work activity for the accounts assigned</li> <li>Verify claim adjudication utilizing appropriate applications, as well as editing claims</li> <li>Initiate phone/letter contact with patients to obtain information, as needed.</li> <li>Perform appropriate billing functions, including manual re-bills as well as electronic submissions to payers.</li> <li>Identify and correct billing errors and rebill as necessary</li> <li>Work denials and write appeals</li> <li>Manage/maintain desk inventory, complete reports and resolve high priority items, including aged reporting</li> </ul>
Requirements: <ul> <li>HS Diploma / GED</li> <li>3 year + A/R/Insurance Collections experience</li> <li>Ability to read/interpret EOBs</li> <li>Excel experience</li> <li>Knowledge of CPT and ICD codes</li> <li>Ability to navigate payer websites</li> <li>Experience with CMS-1500 and UB-04 claims</li> </ul>