Claims Resolution Coordinator

Job Details

Why Join the Amedisys Family?

We are a growing company that values and rewards our team members, recognizes your special skills and experience and offers opportunities for growth. Join more than 14,000 team members who help change lives every day and share a mission of delivering high quality home health, hospice and private duty care at home.

 

Unique clinical environment:

Care for patients one-on-one in home environment with flexibility in scheduling

 

Culture of teamwork:

Shine on your own, with the support of a multi-disciplinary team

 

Ongoing support:

Continuing education and training, tuition assistance, technology and more

 

Advancement:

Professional development to build skills and opportunities to advance

 

Healthcare leader:

Progressive, stable company with 30 years of experience in delivering care at home and commitment to clinical excellence

 

If you’re looking for a home where you can put your skills and experience to work, make a difference every day and pursue your goals for the future, join our team.

 

 

Schedule

Full-time

Primary Location

United States-Louisiana-Corporate Remote

Organization

Corporate

What You Will Do?

Reviews and researches problem claims to ensure proper payment according to reimbursement schedule.

  • Reviews and processes problem claims for billed services. Reviews any denials and works toward resolution of the claim.
  • Responds to payor requests for additional information regarding claims and communicates such requests to the agencies.
  • Generates aging reports and identifies unpaid claims or disputed charges/claims and initiates subsequent requests for payments, resubmits claims, or submits invoice to a secondary payor.
  • Initiates or responds to calls and other inquiries regarding the status of claims.
  • Maintains automated and manual systems related to accounts receivable with accurate information.
  • Prepares accurate drafting, typing, compiling, copying, and distributes a variety of materials such as statistical reports, aging reports, and requests for additional information, memos, etc. timely and as necessary.
  • Attends and actively participates in staff meetings.
  • Provides other administrative support to the department as needed. Senior AR Coordinator – Duties in addition to those stated above.
  • Trains and assists AR Coordinators and Lead AR Coordinators as needed.
  • Audits AR Coordinators and Lead AR Coordinators worked claims as needed.

Amedisys is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

 

Qualifications

Required:

  • High school diploma or equivalent required. Post-Secondary education or training in business or medical billing/collections preferred.
  • Two (2) years experience in healthcare preferred.
  • Demonstrated knowledge of Medicare, Medicaid, or other payor’s guidelines and criteria for reimbursement.
  • Strong data entry skills and ability to type 40-50 wpm with a high level of accuracy.
  • Strong computer and software skills.
  • Ability to use standard office equipment to include copiers, fax machines, and other methods of electronic communications.
  • Excellent interpersonal skills including excellent verbal and written communication skills.
  • Demonstrated knowledge of customer service skills when responding to questions and other inquiries from internal and external customers. Lead AR Coordinator – Qualifications in addition to those stated above.

Amedisys is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

 

Additional Qualifications:

 

Not applicable.

 

Amedisys is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

 

Benefits and More

Amedisys cares for our team members with the same commitment we have to our patients. This is reflected in the benefits we provide and the opportunities we make available to our team. Benefits for eligible employees include:

  • Paid Time Off/Holidays
  • Health benefits (medical, dental, vision); health spending account
  • 401 (K) plan; employee stock purchase plan available
  • Continuing education
  • Fleet car for eligible employees