Rehab AR Specialist

Qualifications: We are seeking a skilled Rehab Accounts Receivable Specialist with experience using NetHealth or similar electronic medical record (EMR) systems for monthly billing, as well as experience working within a clearing house system (Waystar) for denial management and rejection status. The ideal candidate will be responsible for accurately and efficiently investigating root causes, correcting coding errors, preparing claims for appeals and reconsideration with payers to maximize reimbursement.

Overview:

 

Whether you’re looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you’ve ever belonged.

Six months of training, orientation and fun!

We believe in setting our employees up for success. That’s why your first six months are referred to as your “blue-badge” period – a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.

Responsibilities:

Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services – a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.

Qualifications:

We are seeking a skilled Rehab Accounts Receivable Specialist with experience using NetHealth or similar electronic medical record (EMR) systems for monthly billing, as well as experience working within a clearing house system (Waystar) for denial management and rejection status. The ideal candidate will be responsible for accurately and efficiently investigating root causes, correcting coding errors, preparing claims for appeals and reconsideration with payers to maximize reimbursement.

 

This position requires attention to detail, strong organizational skills, and the ability to work effectively in a fast-paced environment.

• Utilizes NetHealth or similar EMR systems to review and verify patient demographic and insurance Information.
• Processes billing transactions for rehabilitation services, including but not limited to physical therapy, occupational therapy, and speech therapy.
• Generates and submits insurance claims accurately and in a timely manner.
• Validates reasons for denial, such as missing information, coding errors, or medical necessity issues.
• Contacts insurance companies via phone or web portals to check claim status and discuss denial reasons and paths to payment.
• Collaborates with healthcare providers, patients, and insurance companies to ensure accurate billing and reimbursement.
• Maintains confidentiality of patient information and adhere to HIPAA guidelines.
• Assists with administrative tasks as needed, including data entry and record keeping.
• Stays up-to-date on changes in healthcare billing regulations and coding guidelines.
• Provides excellent customer service to patients and other stakeholders.
• Follows up on unpaid or partially paid claims to ensure reimbursement is received.
• Prepares and submits formal appeals and reconsiderations to insurance carriers, ensuring timely submission to meet deadlines. Maintain a follow up schedule to follow the process through to completion.
• Other duties as assigned.

Qualifications: 

• High School / GED
• 1-3 years of experience

 

Travel:  Yes: Minimally, as required (Typically less than 10%)