AR Collections Specialist

Virgil
Virgil
( Other )
asiaremotejobs.com  Remote (Asia | APAC Time Zone Permitted)

Job Type : Full-Time
Experience : 3 to 5 years
Education : Bachelor Degree

Job Detail

Who We Are At Virgil

Virgil is a tech-forward provider of adult behavioral therapy across the United States. We believe that patients, clinicians, and insurers all deserve a better healthcare experience, so we built one.

Our mission is to provide personalized, technology-empowered care for adults struggling with behavioral disorders in the environment best suited to help them - their home or ours.

We're looking to rapidly grow our team with values-driven, diverse, caring professionals to help us.

About The Role

The Collections Specialist helps accomplish company goals by providing resolution and service to outstanding receivable accounts. The ideal candidate has the passion and drive, intelligence and integrity, high attention to detail, professionalism and excellent follow up skills to increase revenue. The position requires a thorough knowledge of the healthcare industry and an effective strategy working with insurance carriers to get claims paid.

What You'll Do

  • Provides claim resolution for assigned accounts to increase collections and reduce delinquencies
  • Analyzes Explanation of Benefits and Remittance Advices and ensures claims processed according to members plans
  • Identifies denial reasons, and follows appeal process to get claims paid
  • Performs high volume collection phone calls to insurance companies
  • Meets minimum 'time on the phone' requirements
  • Accesses payer online resources to expedite claims follow up and ensure claims are on file and processing
  • Follows EOB protocol, retrieve documentation to ensure paid accounts are closed
  • Accesses billing software to analyze rejection reasons and communicate findings
  • Communicates billing/coding errors and completes resubmission request
  • Identifies and reports changes and trends in carrier guidelines and reimbursement patterns
  • Executes and delivers special projects from management and other duties as assigned
  • Corresponds with third party rate negotiation companies to expedite claim process
  • Accesses EMR, retrieves medical records and follows protocol
  • Adheres to documentation protocol, notates accounts and reports appropriately
  • Organizes daily and weekly production/action reports in file share
  • Participates in companywide and departmental meetings
  • Commits to providing excellent customer service while maintaining the highest degree of professionalism while working in a team environment to meet goals
  • Understands and complies with all HIPAA rules and regulations

What You'll Need

  • 3-5 years High Volume corporate Collections experience
  • Knowledge of Billing and Collections procedures
  • Experience working with online payer resources
  • Accounts Receivable knowledge/experience a plus
  • Strong attention to detail, goal oriented
  • Commitment to excellent customer service
  • Ability to work efficiently within deadlines
  • Excellent written and verbal communication abilities
  • Strong interpersonal skills and ability to work in a team environment
  • Ability to prioritize and manage multiple responsibilities
  • Adheres to all policies and procedures as outlined in the Employee Handbook
  • Proficiency using Microsoft Office products

About Virgil

In addition to our clinicians and supporting departments, our company is built around four cross functional teams (spanning operations, product, marketing, business development, etc.):

  • Demand - Deliver top notch products and services to our growing number of patients. You'll work with patients to understand pain points and optimize the patient journey from first contact to start of care to offboarding.
  • Supply - Own and manage the relationship with our clinical practitioners. You are responsible for the growth of our clinician ecosystem by attracting, recruiting, and retaining high quality behavioral care providers.
  • Platform - Build tools and provide services to optimize and improve the delivery of clinical care. You'll help match the right provider with the right family, coordinate clinical care, and develop digital therapeutics products.
  • Quality - Improve the quality of care delivered to our patients. You'll ensure that we provide strong clinical outcomes, develop training platforms to level up our providers, and maintain compliance with a variety of payor and regulatory requirements.

At Virgil, we are a globally distributed team with many of our team members located in the following cities: San Francisco, New York, Los Angeles, Toronto, Montreal, and Kyiv. While everyone currently works remotely, we envision a future that balances face to face collaboration with a remote friendly environment.

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required for the position.

Virgil is an equal opportunity employer that is committed to providing all employees with a work environment free of discrimination and harassment. We celebrate diversity and welcome applicants from every background and life experience.

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