RCM A/R Specialist at Adecco USA

Adecco Healthcare & Life Sciences is hiring an RCM A/R Specialist! This role is remote / work from home, and you must reside along the East Coast. Please read below and apply with an updated resume for consideration:

Type:                     Two-to-Three-month contract, opportunity for extension

Schedule:             Monday through Friday, 8am to 5pm EST

Pay:                       $20.00 to $23.00 an hour

 

Responsibilities of the RCM A/R Specialist:

•         Review denied claims based on assigned markets, payers and work queues within our practice management system

•         Accurately and efficiently processes requests for denied claims information using website portals and outbound phone calls for all Commercial, Medicare and Medicaid insurance payers

•         Researches and responds to documentation requests from insurance carriers in a timely manner.

•         Processes appeals of insurance denials and follows-up until the appeal is resolved.

•         Obtains, reviews and updates patient demographics and insurance information within both EHR and practice management billing system as needed. 

•         Complete timely follow-up on claims submitted to payer, but no response or ERA after 45 days to resolve any pending issues with claim and payer within timely filing limits. 

•         Documents clear and concise activities performed in the system for each account worked.

•         Adheres to all HIPAA (Health Insurance Accountability and Portability Act) guidelines and regulations

•         Ability to consistently maintain productivity and quality expectations as defined by the leadership team

•         Alert management to irregularities, insurance trends and areas of concern with reimbursement

•         Completes other tasks and projects as assigned by RCM Leadership. 

Qualifications for the RCM A/R Specialist:

•         Bachelors Degree or equivalent experience

•         Four plus years of experience working within a denial management role

•         Prior experience resolving out of network denials, and value based (bundle) claims

•         Proficient in CPT and ICD-10 coding terminology

•         Must reside along East Coast / EST for consideration

 

Why work for Adecco?

•         Weekly Pay

•         401(k) Plan

•         Skills Training

•         Excellent medical, dental, and vision benefits

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs.  Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

IMPORTANT: This RCM A/R Specialist job is being recruited for by Adecco’s Healthcare & Life Sciences division, not your local Adecco Branch Office.

For opportunities available at Adecco Medical and Science go to

Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit

. The Company will consider qualified applicants with arrest and conviction record.

Pay Details: $20.00 to $23.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to

/>
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance