AR Research and Resolution Representative

<p style="text-align:left"><b>Job Posting Closing Date:</b><span> Open until Filled</span></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Where do you belong?</b></p><p style="text-align:inherit"></p><p style="text-align:left">Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional,  at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.</p><p style="text-align:inherit"></p><p style="text-align:left">USACS also understands that location is important. We offer  career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture,  outstanding benefits and competitive compensation package is best in class.</p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Job Description</b></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p>The AR Research & Resolution Representative is responsible for maximizing cash collections, minimizing denials and lost revenue, modeling the organization's values, and working on individual and project denial and claim assignments.<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p>Location: Remote</p><p></p><p><b>ESSENTIAL JOB <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">FUNCTIONS:      </span> </b></p><ul><li>Performs various complex duties, including, but not limited to, working outstanding insurance or contract claims and resolving claim edits and denials. Maintains worklists and assignments at acceptable levels based on performance targets, KPI, and quality scores. </li><li>Conducts all insurance or contract follow-up aspects, including interfacing with payers, communicating with internal and external business partners by conducting phone calls, and utilizing web-based tools. Escalates items promptly.</li><li>Identifies opportunities to improve department workflows and cross-functional processes. Contributes to the development and maintenance of company-wide payer matrices and updates to Standard Operating Procedures</li><li>Serves as an active contributor in team meetings.</li><li>Maintains knowledge of current government and carrier regulations relevant to the industry.</li><li>Models the core values of the organization.</li><li>Performs and assists with other department duties as needed.</li></ul><p></p><p><b>KNOWLEDGE, SKILLS AND ABILITIES:</b></p><ul><li>Knowledge of and skill in using personal computers in a Windows environment, emphasizing basic word processing and data entry onto spreadsheet programs.</li><li>Knowledge of medical insurance and its terminology.</li><li>Basic knowledge of ICD-10 and CPT codes.</li><li>Ability to work independently and as an effective team contributor.</li><li>Ability to pay close attention to detail.</li><li>Ability to identify, research, and solve problems and discrepancies.</li><li>Ability to communicate courteously and professionally.</li><li>Ability to maintain confidentiality.</li><li>Ability to process assigned duties in an organized manner.</li><li>Ability to perform basic mathematical calculations such as adding, subtracting, multiplying, and dividing.</li><li>Ability to effectively perform in a multi-task work environment.</li><li>Ability to work overtime when needed.</li><li>Ability to work effectively in remote settings.</li></ul><p></p><p><b>EDUCATION AND EXPERIENCE:  </b></p><ul><li>High school diploma or equivalent. </li><li>At least one year of medical insurance, billing experience, or equivalent training or education.</li></ul><p></p><p><b>PHYSICAL DEMANDS:</b></p><ul><li>While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds. </li><li>Required to have close visual acuity to perform the job.</li></ul><p></p><p>Hourly Rate: $14.53 - 26.88</p><p>The starting rate for this position will be $18.50 per hour</p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><div><div><div><div><div><div><div><p style="text-align:left">Hourly rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.</p></div></div></div></div></div></div></div><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p>USACS offers a comprehensive and competitive benefits package designed to support the health, well-being, and financial security of our employees.</p><p>Benefits may vary based on role, location, and employment status, but generally include:</p><p></p><ul><li><p>Medical, dental, and vision insurance options</p></li><li><p>Health savings accounts (HSA) and flexible spending accounts (FSA)</p></li><li><p>401(k) employee and employer contributions</p></li><li><p>Paid time off, including vacation, sick leave, and company holidays</p></li><li><p>Paid parental leave & family support benefits</p></li><li><p>Short-term and long-term disability insurance</p></li><li><p>Life and accidental death & dismemberment (AD&D) insurance</p></li><li><p>Employee assistance programs & wellness resources</p></li></ul><p> </p><p>Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.</p><p>Specific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies.</p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><div><div><div><div><div><div><div><p style="text-align:left">Click the red apply button to submit an application and resume. If you are an USACS employee, please apply via the Jobs Hub in the Workday system.</p></div></div></div></div></div></div></div>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...