LHH is seeking a Revenue Cycle Specialist to join a growing team, offering abundant opportunities to develop your professional and personal skills, advance your career, and positively impact patients' lives.

This role is FULLY REMOTE, working on MST hours.

Number of positions: 6

Length: 6 months, W2

Schedule: Full time, Remote. Monday - Friday 8am – 4:30pm MST

Successful individuals in this role are highly ambitious, results-driven, and like root cause analysis. This position requires a high level of attention to detail, critical thinking, and the ability to work well as part of a fast-paced team. In addition, the ideal candidate has a high level of multitasking abilities, strong mathematical and analytical skills, and is driven by moving metrics to achieve success. Specialists in this role will conduct collections activities which will entail contacting Medicare Administrative Contractors (MACs) to reconcile outstanding accounts receivable (debit balances), research and resolve problem accounts, and request rebills or adjustments on claims.

Essential Duties and Responsibilities:

• Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; Actions include but are not limited to remit and EOB review, calling payer(s) and clinics, rebilling claims, navigating payer portals, and taking adjustments in the billing system

• Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayments and follow appropriate documented policy and procedures to remediate

• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claims

• Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims

• Stay current on communication relating to healthcare reimbursement and regulatory changes

• Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives

• Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude

• Maintain confidentiality of all companies and patient information in accordance with HIPAA regulations and policies

• Consistent and punctual attendance as scheduled is an essential responsibility of this position

Qualifications:

• High school diploma or equivalent (GED)

• Proficiency in Microsoft office tools such as Outlook, Word, PowerPoint, Excel, and OneNote

• Excellent and demonstrated written and verbal communication skills

• Computer competency; typing, basic computer troubleshooting, and navigation

• Ability to solve problems and critically think root cause analysis

Preferred Qualifications:

• Healthcare experience; insurance or revenue cycle is a plus

• Insurance claim collections experience

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 https://www.lhh.com/us/en/candidate-privacy

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