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Account Resolution SpecialistLouisville, Kentucky

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Job # 417332 Date posted 11/18/2021

Description

We are recruiting for an Account Resolution Specialist to join our Central Business Office.  

Summary:

The Account Resolution Specialist will be responsible for supporting A/R resolution in our Central Business Office by effectively and efficiently researching claims and taking action with the insurance payers to achieve timely account adjudication. The ideal candidate has the ability to recognize and solve issues as appropriate, interpret contract terms to ensure accounts receivables are properly stated, in addition to writing and processing underpayment technical appeals.

Essential Functions:

  • Review unpaid claims, research reasons for delay, and work with payers to resolve the issues
  • Initiate collection follow-up of unpaid or denied claims
  • Effectively follows up on appeals and resolves claim rejections, underpayments, and denials
  • Research technical payer denials related to referral, pre-authorization, non-covered services, and billing resulting in denials and delays in payment; Initiate appeals with insurers appropriately
  • Develop and submit detailed, customized appeals to payers based on review of denial, applicable records, and in accordance with payer guidelines as well as Kindred’s policies and procedures
  • Review outstanding accounts and aging reports
  • Processes adjustments when required
  • Responsible for statusing of A/R
  • Replies to insurance companies requests for additional documentation in a timely manner
  • Communicates pertinent information to Business Office Director
  • Track trending issues
  • Work with multiple systems daily
  • Review EOB’s to identify payment errors, denials and low reimbursement
  • Make phone calls regularly to insurance companies for claim follow up
  • Research account receivables for both Medicare and Non-Medicare collection
  • Conduct thorough account research and analysis
  • Recognize, reconcile and resolve account discrepancies
  • Provide timely notation of action taken on patient accounts; process refunds to insurance carrier or patient; correct late charges; monitor insurance coding and effective/exhaust dates
  • Responsible for identifying net revenue hits and pick-ups
  • Responsible for underpayment variance reviews
  • Responsible for identifying, logging, and effectively working denials
  • Ability to read an insurance contract and monitor claims accordingly

Knowledge/Skills/Abilities:

  • Demonstrate ability to research, analyze and resolve problems
  • Ability to multi-task
  • Good communication skills (both verbal and written)
  • Ability to use independent judgment to recognize and solve issues
  • Demonstrates the ability to work independently and takes initiative
  • Desire to make a positive impact with the ability to manage multiple tasks and shift priorities
  • Team player with a strong sense of ownership and accountability
  • Detail oriented, organized, and motivated

Qualifications

  • Education: High School Diploma
  • Experience: 2+ years of experience in healthcare collections

Depending on candidate’s qualifications, this position may be filled at a different level. 

If you are a current Kindred/RehabCare employee Click Here.

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  • Benefits and Recognition

    Benefits & Recognition Our goal is to offer valuable compensation and incentive programs that enables us to attract, reward, retain, and motivate highly qualified individuals. Compensation can include bonus plans and recognition for going above & beyond.

  • Healthcare

    Healthcare We offer a variety of Health Savings Account (HSA) and PPO plan options.

  • 401(k) Plan

    401(k) Plan Employees can contribute pre-tax dollars through payroll deduction.

  • Paid Time Off

    Paid Time Off Your work/life balance is important to us. We offer our employees a flexible Paid Time Off program.

  • Wellness Program

    Wellness Program We offer tools, resources and support for weight loss, stress reduction, smoking cessation and making overall healthier choices.

  • Community

    Community Community involvement is consistent with our company's principles and with our mission of customer service and quality care.

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You have high standards. So do we. Find your future with Kindred, the nation’s largest specialty hospital company. A career here will allow you to learn, thrive and grow in a positive and supportive environment where your input matters. Join us and see all that you can accomplish when you combine your talent, skills and dedication with a highly successful and compassionate healthcare leader.

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Nursing excellence practiced here. Kindred is the nation’s largest specialty hospital company, and our nurses are a big reason why. Here, you’ll engage our patients and their families by providing the skill, comfort and compassionate care needed for the best possible outcomes and reducing lengths of stay and unnecessary re-hospitalizations. Join our dedicated staff and gain valuable experience as you learn, grow and thrive in a positive and empowering environment.

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Rehabilitation is the key to everything we do. And our caring, compassionate therapists are proud to lead the way. As one of the largest providers of rehabilitation therapy in the country, we’ve been managing rehab for more than 30 years. Whether you are a physical, occupational or speech-language therapist, we have opportunities that allow you to provide exceptional care in an environment committed to career growth and continual learning and support.

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