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Remote Insurance Follow-Up Representative- Hospice
RemotePosted 1 weeks ago
remote
Job Description
Remote Status: Remote
Job Id:
200
# of Openings:
10
Join a USA Today Top 100 Workplace & Best in KLAS Team!
Remote Insurance Follow-Up Representative- Hospice (3+ Years of Hospice Experience Required)
Pay Range: 58-60K+ Annually | Schedule: Monday–Friday, 8am–5pm EST | Location: Fully Remote
Work Where Excellence is Recognized
At RSi, we've proudly served healthcare providers for over 20 years, earning recognition as a "Best in KLAS" revenue cycle management firm and a USA Today Top 100 Workplace. Our reputation is built on delivering exceptional financial results for healthcare providers—and an unbeatable work culture for our team. We seek high-performing individuals willing to join our sharp, committed, and enthusiastic team. Here, your performance is valued, your growth is prioritized, and your contributions make a meaningful impact every day.
Your Role: Essential, Rewarding, Impactful
As a Remote Medical Insurance Follow-Up Representative – Hospice, you'll play a critical role in managing outstanding accounts receivable by pursuing timely and accurate payment from insurance carriers and/or patients. The role involves investigating unpaid claims, resolving denials, and maintaining detailed documentation to reduce aged accounts and improve cash flow for healthcare organization. Your diligence in resolving claims directly supports providers’, overall financial health, creating a ripple effect of positive outcomes.
What You'll Do:
- Follow-Up with hospice Insurance Carriers to determine reason for claims denial and work to resolve claim for payment.
- Resolve hospice insurance denials and file appeals with government and commercial carriers.
- Report unusual accounts, account problems and workflow issues promptly to manager. Process hospice claims, payments, adjustments, denials, and unpaid insurance balances.
- Stay up to date on hospice contract, regulation, procedure, and other changes affecting the department.
- Analyze the unpaid hospice claims and denials and identify/investigate the reasons for nonpayment and which action is needed to resolve timely.
- Serve as a liaison with insurance companies, third party payors, and administrative personnel Provide accurate account maintenance and documentation.
- Use and demonstrate understanding of applicable computer systems, including system reports and security procedures.
- Work effectively with other staff members to accomplish work and departmental goals.
- Perform various collection actions including possibly contacting patients by phone, updating insurance information, and follow through on insurance processes.
- Adhere to applicable hospice policies, core services/room and board billing regulations, departmental practices, and 3rd party hospice requirements.
- Operate within the guidelines of the Health Insurance Portability and Accountability Act (HIPAA) and any other applicable Federal or state laws and company policies.
- Demonstrate positive and professional communication skills.
- Perform other work duties as assigned.
What We're Looking For:
- High School Diploma required, AA+ preferred.
- 3-5 years of insurance follow-up and or billing experience in a hospice related setting is required.
- Experience with filing UB-04 and HCFA 1500 claim form for Hospice services required.
- Experience in utilizing add on software such as: Change Healthcare, US Bank, SSI, IDX/Centricity, Epic, FastTrack, Meditech, Cerner, and various other systems.
- Thorough understanding of hospice billing requirements, CPT, DRG, HCPC, Procedure and Revenue codes, modifiers, hospice bill types and their effect on reimbursement
- Results-Oriented
- Strong written and verbal communication skills
- Ability to handle and maintain confidential information
- Ability to manage multiple projects effectively.
- Ability to collaborate effectively with team to ensure project deadlines are met.
Why You'll Love RSi:
- Competitive pay with ample opportunities for professional growth.
- Fully remote position with a stable Monday–Friday schedule.
- Collaborative, performance-driven environment with expert leadership.
- Mission-driven work supporting essential healthcare services.
- Recognition as a nationally respected leader in healthcare revenue management.
Physical Requirements:
- Comfortable working at a computer for extended periods.
- Ability to occasionally lift items weighing up to 15 pounds.
What to Expect When You Apply:
Our hiring process is designed to find exceptional candidates. Once your application is received, you'll receive an invitation to complete an initial skills assessment. This step is essential: completing this assessment promptly positions you for an interview and demonstrates your commitment to excellence.
We believe in creating exceptional teams, and this process ensures that every member at RSi has the opportunity to thrive and grow.
Ready to be part of something special? Apply now and join our team!
Apply for this Position