COME WORK FOR A COMPANY THAT IS TRANSFORMING THE INDUSTRY!

We are Ascend Clinical, one of the highest volume clinical laboratories in the United States. With the use of the most advanced tools and technology, we process millions of tests each month. For over 30 years, we have been delivering industry-leading service and excellence in testing. At Ascend, we are relentless about innovation and growing to pioneer the future of clinical and environmental laboratory testing.
Ascend is unlike most companies, offering the discipline of a healthcare leader and the mentality of a tech startup. As a company that is on the leading edge, we are seeking individuals with a similar mindset who enjoy a dynamic, fast-paced environment.

JOB SUMMARY:

The Accounts Receivable Specialist (Hybrid) is responsible for researching, analyzing, billing, and collection of all patient accounts assigned. Performs routine eligibility and benefit checks. Researches, appeals, and resolves claim rejections, underpayments, and denials with appropriate payer. Medical billing, denial management and collections experience is required.

QUALIFICATIONS:

• Medical billing, denial management and collections experience required
• High degree of problem solving abilities required

• Responsible for all areas of the revenue management life cycle
• Ensures necessary information critical to submitting clean claims is obtained
• Perform eligibility and benefit checks
• Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence
• Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payer
• Reviews and interprets payer remittances to determine appropriate action to be taken on denied claims
• Identify root cause of claim exceptions; resolve and/or escalate issues
• Analyzes outstanding account balances and determines plan of action to resolve
• Determine and apply appropriate business action in absence of policies or in cases of ambiguity
• Identifies and interprets policies related to exceptions
• Contacts payers for status of unpaid claims
• Maintains knowledge/understanding of third party payer regulations for managed care, Medicare, and Medicaid accounts
• Maintains patient confidentiality according to compliance policies and HIPAA