Revenue Cycle and Follow Up Specialist - Full-time

p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;' id="isPasted"uCompany Overview/u/pp style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Healthcare Legal Solutions, LLC is a fast-growing healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems nationwide. Our team is collaborative, mission-driven, and focused on results. This is a great opportunity for candidates who are passionate about healthcare, legal writing, and strategy./pp style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'uPosition Overview/u/pp style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'We are seeking a detail-oriented, organized, and assertive individual for our Revenue Cycle/ Follow Up Specialist position. The candidate would be responsible for the basic collection of unpaid third-party claims and standard appeals, using various billing applications and third-party payer systems. A successful applicant will communicate with payers to resolve issues and facilitate prompt payment of claims. This position requires follow-up with insurance companies to progress the standard appeals process for claim denials and collect outstanding accounts for which payment has not been received. The candidate will use an understanding of claims and appeals submission requirements for payers to expedite payments and utilize a knowledge of appeals and rejections processes to resolve standard issues or escalate to a more senior staff member. This is a full-time (40 hrs/ week), remote position with preference for candidates in the DC-Maryland-and Virginia area.brnbsp;bruSpecific Duties amp; Responsibilities/u/pul style="margin-bottom:0in;margin-top:0in;" type="disc"li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Use HLS follow-up systems to identify unpaid claims for collection/appeal/lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Use HLS follow-up systems to progress the standard appeal process for denied claims/lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract/lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Review and update patient registration information (demographic and insurance) as needed/lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Resolves claim edits as needed/lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Escalates any faulty accounts for correction, additional review, or delegation to more senior staff members/lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Prints and mails appeals and related documents as needed/lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Retrieves supporting documents (medical reports, Explanations of Benefits authorizations, etc.) as needed and submits to third-party payers/lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Identifies insurance issues of primary vs. secondary insurance, coordination of benefits eligibility, and any other issue causing non-payment of claims/lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Contacts the payers or patient as appropriate for corrective action to resolve the issue and receive payment of claims/li/ulp style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'uProfessional amp; Personal Development/u/pul style="margin-bottom:0in;margin-top:0in;" type="disc"li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Participate in on-going educational activities, meetings, and opportunities/lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Keep current of industry changes by reading assigned material on work related topics/lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Report for in-person workdays 2-5 times per month to remain engaged in HLS office culture (preferred)/li/ulp style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'uQualifications/u/pul style="margin-bottom:0in;margin-top:0in;" type="disc"li style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'Bachelor#39;s Degree (BA/BS) from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience./lili style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:"Aptos",sans-serif;'strongOther qualifications/strong:nbsp;ol style="margin-bottom:0in;margin-top:0in;" start="1" type="1"li style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"BA/BS with a GPA of 3.0 or higher/lili style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"Interest in healthcare and healthcare law/lili style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"Ability to use various hospital, billing, and patient information computer systems/lili style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"Familiarity with compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI)/lili style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"Able to navigate through various computer systems and applications to find information about insurance claims/lili style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"Ability to prioritize and multi-task/lili style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"Excellent written and verbal communication skills/lili style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"Proficiency in Microsoft Office, including Word and Excel/lili style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"Excellent organizational and time management skills/lili style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"High attention to detail/lili style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"Clear, concise, and logical writing style/lili style="margin-top: 0in;margin-right: 0in;margin-bottom: 8pt;line-height: 115%;font-size:16px;font-family: Aptos, sans-serif;"Continuous performance improvement and ability to implement feedback/li/ol/li/ul