Job Description
Experity offers the following: - Benefits - Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
- Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
- Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
- Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
- Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
- Career Development - Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
- Team Building - We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party.
- Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.
Onsite: This position will be onsite Monday - Friday at our Machesney Park office.
Pay: $20+ hourly
Job Type: Full time
Work Schedules: Monday - Friday
- 7:30 am - 4:00 pm
- 8:00 am - 4:30 pm
- OT available after training if requirements are met
Responsibilities: - Applies payments and adjustments to patient accounts as appropriate.
- Counsel patients regarding financial obligations related to account balances.
- Follow up with insurance payers for processing of appeals and errors including paper appeals or online portal entry as needed.
- Receive and resolve inquiries, concerns, or complaints related to patient accounts from patients, insurance carriers, employers, etc.
- Responsible for resolution and appropriate refunding of credit balances. Includes working credit balance reports as needed.
- Responsible for the review and resolution of denied claims on EDI reports.
- Responsible for timely review and release of charges on hold.
- Review and coding of patient medical record in compliance with standard coding guidelines.
- Review explanations of benefits for correct adjudication and payment according to applicable managed care contract terms and reimbursement.
- Review of unpaid claims, researching denials, and/or lack of activity to ensure timely payment and maintain cash flow.
- Review and update patient and insurance demographics as appropriate.
- Understand CPT, ICD-10, and HCPCS coding.
- Provide feedback to providers regarding documentation in medical records.
- Review and resolve EDI rejections and payer denials.
- Print and mail corporate statements and secondary claims.
- Review coding denials.
- Other duties as assigned.
Education and Experience: - High school diploma or equivalent
Preferred: - One year experience in customer service/physician office
- Knowledge of medical terminology
Every Team Member lives and breathes our Core Values: - Team First
- Lift Others Up
- Share Openly
- Set and Crush Goals
- Delight the Client
Our urgent care solutions include: - Electronic Medical Records (EMR): Software that healthcare providers use to input patient data, such as medical history, diagnoses, treatment plans, medications, and test results.
- Patient Engagement (PE): Software that shows patients the wait times at various clinics, allows patients to reserve a spot in line if there's a wait, and book the appointment.
- Practice Management (PM): Software that the clinic front desk staff uses to register the patient once they arrive for their appointment.
- Billing and Revenue Cycle Management (RCM): Software that manages coding, billing and payer contracts for clinics so they don't have to.
- Teleradiology: Board certified radiologist providing accurate and timely reads of results from X-rays, CT scans, MRIs, and ultrasounds, for our urgent care clients.
- Consulting: Consulting services for urgent care clinics to assist with opening, expanding and enhancing client's businesses
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Job Tags
Hourly pay, Holiday work, Full time, Contract work, For contractors, Immediate start, Flexible hours, Monday to Friday,