ACADIAN AMBULANCE HAS AN IMMEDIATE OPENING FOR A FULL-TIME RESOLUTION SPECIALIST TO WORK WITH OUR ACADIAN CLIENT SERVICES TEAM.

Job Summary: Responsible for auditing and increasing the quality standards within the revenue cycle department by reviewing claims processes, billing protocols, and write off protocols are followed according to established policies. This position will independently review claims and make recommendations to senior leadership on process improvements or educational opportunities.
Job Location: Lafayette, LA - This position is based in the office, Monday-Friday 8am-5pm.

QUALIFICATIONS:

• 5+ years of Medicare, Medicaid and/or Insurance Billing experience preferred
• Bachelor’s Degree and 3+ years of Billing experience
• Proficient in Google, MS Office Suite or related software
• Understands HIPAA and Red Flag guidelines
• Problem-solving abilities
• Excellent communication and customer relation skills
• Familiarity with the Centers for Medicare & Medicaid Services regulations (ambulance)
• Demonstrate a strong work ethic and work independently
• Possess strong organizational skills
• Punctual with strong attendance history
• Ability to adhere to productivity goals, departmental and company guidelines, dress code, policy and procedures
• Excellent interpersonal skills and time management
• Maintain highest level of confidentiality
  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran

• Provide an overview of billing scenarios to Acadian leadership on high priority claims
• Ensure appropriate handling of those claims and timely follow up for resolution
• Conduct a random sample audit to ensure accurate and appropriate write offs are occurring according to established Acadian guidelines
• Report findings to ACS leadership on inappropriate use of write offs
• Recommend educational opportunities to improve accuracy
• Claim status check and resolution, including initiating contact with appropriate third-party payer on select claims
• Review of timely filing reports to ensure appropriate handling of claims
• Other duties and responsibilities, as assigned