Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team!
Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.
This role offers:
A great work/life balance
No weekends or evenings – Monday thru Friday
Paid holidays and paid time off
Rapidity growing team with opportunities for advancement
Competitive compensation
Benefits package
Duties you will be responsible for:
Directly oversees and supervises day to day operations of the Accounts Receivable (AR) teams.
Prioritize, assess, and re-prioritize daily workflows to ensure timely execution of AR and meeting/exceeding goals/KPI.
Assist with creation of front-end scrubs/edits based on denial management review.
Effectivity manages the team through streamlined improvement initiatives to ensure the team is highly effective for the providers.
Actively participates and maintain strong new hire training process and assist with policy/procedure documentation and process workflow.
Conduct audits of team members to ensure quality initiatives are being met and exceeded.
Identify and document trends in underpayments, denials, aging receivable that compromise the ability of the AR team to meet established goals.
Assists with resolution of complex claims or projects and trains team to improve follow up efforts.
Strong analytical skills to prepare project data with external payors and partners.
Motivate, train, evaluate, record and report team members performance and progress.
System matter expert of all AR functions across the team to maintain a highly efficient and productive team and to ensure process can be trained effectively.
Assist Management in establishing weekly/monthly goals, ensure AR team members are utilizing all resources and meeting and/or surpassing weekly/monthly KPI's.
Asist manager with preparing weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
Research and maintain understanding of policy changes across the RCM markets.
Daily reviews of the following programs: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflows.
Assist manager in the interview process.
Assist with preparation of team meetings focused on collaboration and process improvement.
Assist Manager with employee performance appraisals and work with the accounts receivable team on skill development.
Minimum Requirements
Associates or Bachelor's Degree is highly preferred but experience may be substituted for education.
5+ experience in healthcare industry and 1+ years of supervisory experience/leading a team, in healthcare revenue management cycle roles encompassing all phases of the revenue cycle management.
Experience with a large, growing healthcare organization supporting 100 or more providers and overseeing 10+ team members.
Experience with a large Practice Management (PM) System, eCW (E Clinical Works) is a plus but not required.
Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.
Certified coder preferred, but not required.
Excellent communication skills both verbal and written.
Able to analyze data and quickly identify process-based issues for remediation.
Maintains confidentiality in all matters that include Patient Health Information and employee data.
Hands-on participation in process/workflow design including team member involvement across the department.
Intermediate experience with Microsoft Excel and Office products is required.
Prior experience collaborating with a remote team is highly preferred.
We offer a comprehensive benefits package to our eligible employees:
401(k) retirement plans with employer Safe Harbor
Harbor Non-Elective Contributions of 3%
Discretionary profit-sharing contributions of up to 4%
Health insurance
Employer contributions to HSAs and HRAs
Dental insurance
Vision insurance
Flexible spending accounts
Voluntary life insurance
Voluntary disability insurance
Accident insurance
Hospital indemnity insurance
Critical illness insurance
Identity theft insurance
Legal insurance
Pet insurance
Paid time off
Discounts at local fitness clubs
Discounts at AT&T
Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more.
Interested in learning more? Click here to learn more about the location.
Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees.
Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
We thank you for your interest in joining our growing Gastro Health team!