Revenue Cycle Liaison Representative

The Revenue Cycle Liaison Representative is a full time position (on-site) that provides administrative and analytical support to the PROMEDICAL clients by helping to manage the weekly accounts, reporting, medical billing, record and correspondence workflow process. The employee also closely works with the hospital finance department and performs other tasks as requested.

Key responsibilities:
• Clean up statuses on client accounts
• Complete weekly client account tasks-close reports, payment adjustments/transfers
• Handle refunds/credit balance transfers
• Maintain overall document imaging process including pulling, scanning, indexing and verification of all documents including medical records
• Retrieve and scan medical records from hospitals electronic system
• Ensure accuracy and quality control with review of all files
• Send letters of explanation
• Scans, review and sort incoming correspondence
• Review weekly reports and perform administrative changes to accounts
• Handle small volume of inbound telephone calls
• Troubleshoot scanning errors
• Ensure scanning equipment is in good working condition and report issues as needed
• Assist with special projects and administrative tasks as directed
• Follow HIPAA and regulatory guidelines daily

Qualifications include:
• Strong patience, data entry and interpersonal skills
• High level of attention to detail
• Analytical and critical thinking skills to make decisions based on available information
• Experience with Document Control Management a plus
• Understand and work within the ‘team’ concept
• Exceptional skills managing work, planning and organizing
• 3+ years of experience with knowledge of medical records and document control requirements
• Excellent oral and written communication skills
• Handle weekly tasks independently
• Technical knowledge of Excel required

Click here to apply

Complex Claims Follow up Analyst – Lexington, MA

The Complex Claims Follow up Analyst working under the Complex Claims Manager is responsible for billing, review, follow up and collection of accounts for third party liability insurance payors, including Auto Insurance coverage, Worker’s Compensation and the Federal Government.

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Claims Follow up Analyst – Lexington, MA

The Claims Follow up Analyst is responsible for the in-depth follow-up of unpaid or denied workers compensation & motor vehicle claims. They will interact with applicable insurance carriers, attorneys, patients and employers with the ultimate goal of liquidating claims in a timely manner. Analysts utilize on-line tools, system strategies, as well as actively communicate over the phone or via email. Analysts will ensure that claims are being billed correctly and that insurance carriers have the necessary information to adjudicate. A healthcare revenue cycle background in medical billing or insurance claim processing is a must and should be comfortable on the phone speaking to carriers, attorneys, patients and employers.

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Claims Validation Specialist – Lexington, MA

The Claims Validation Specialist, a detail-oriented individual who will take full ownership of the position.  Candidates must possess outstanding organizational skills, ability to stay on task with minimal supervision and adapt in a constantly changing environment.

  • Manage both inbound and outbound calls efficiently and effectively by gathering claim information from patients, employers, insurers and others outside firms
  • Verify information, receipt of insurance claim and bill review packages
  • Manage workflow, processing, document specifications for our document management system
  • Review and correct any claim level system holds to prevent rejections
  • Complete all processing and sending of claim files
  • Navigate online systems to perform accurate and timely data entry
Click here to apply