Looking to apply?

Impekkable/HealthTech is looking for a seasoned Hospital Revenue Recovery Specialist to join our team and support our managed hospitals. 100% Remote, Permanent, Full-time Must have hospital complex claims and denials experience ZERO micro-management – Must be able to work independently and stay on task SUMMARY This role is responsible for capturing reimbursement for hospital billed claims and denials that are a zero balance. The ideal candidate must have a minimum of 3 years of hospital insurance collections/claims/denials experience and possess a strong knowledge of Commercial, Third-Party Insurance Accounts, including but not limited to Medicaid, Managed Care, and Other Government payors. They must also have an in-depth understanding of payor contracts to include rules and guidelines governing payor collection activities and be able to “work” accounts in a computerized automated environment. ESSENTIAL DUTIES AND RESPONSIBILITIES

• Researching and analyzing accounts for assigned clients and payers to diagnose reasons for underpayment/non-payment of claims that have gone to zero balance
• Evaluating appropriate actions needed for correcting the account.
• Maintaining track of all identified issues and errors.
• Identifying, reviewing, and interpreting third-party payments, adjustments, and denials.
• Facilitating first and second-level appeals to payers.
• Recommending changes to revenue collection based on analysis of recovery trends.
• Negotiating with third party payers to recover funds for grossly underpaid claims.
• Validate denial reason and ensure coding is accurate and reflects denial reasons for accounts that are under or partially paid and written of to a zero balance.
• Exhibit expertise in billing. Generating rebills and corrected claims for additional reimbursement.
• Responsible for correcting, completing, and processing claims for all payer codes where additional reimbursement is identified.
• Analyze and interpret that claims are accurately sent to insurance companies for additional reimbursement.
• Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts
• Process appeals online or via payer portal or fax.
• Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsideration.
• Follow specific payor guidelines for appeal submission.
• Research contract terms/ interpretation and compile necessary supporting documentation for appeals and reconsiderations.
• Ensure proper account documentation, which is clear, concise, and includes all pertinent information.
• Understand and apply the terms of client’s contracts.
• Escalate immediate and appropriate payor trends and issues to management which impact cash, aging, and processes.
• Maintain or exceed 95% of established productivity goals and quality standards (30 to 50 accounts).
• Utilize company software in all account follow-up activities and promote working toward paperless environment.
• Ensure professional verbal and written communication with facilities, clients, and co-workers following established guidelines.
• Obtain management approval when necessary to communicate with external clients about internal processes and procedures.
• Follow and maintain patient, account, and client confidentiality always.
• Adhere to HIPAA and Compliance Policy Guidelines.
• Follow timekeeping and attendance policy daily.

OTHER DUTIES AND RESPONSIBILITIES

• Perform other duties as assigned.
• Provide leadership to others through example and sharing of knowledge and skill.
• Comply with all company policies and procedures, including the corporate compliance program.
• Actively promote HealthTech/Impekkable in all interactions with customers.
• Act in accordance with company stated values – integrity, initiative, respect, personal commitment, excellent performance, and customer satisfaction.

EDUCATIONAL AND EXPERIENCE REQUIREMENTS

• High school diploma or GED required.
• Must have hospital complex claims and denials experience
• Knowledge of Commercial, Third-Party Insurance Accounts including but not limited to Medicaid, Managed Care, and Other Government Rules and Guidelines governing collection activities.

COMPUTER OPERATIONS

• Previous experience should include basic computer knowledge.
• Knowledge of Microsoft Word and Excel required.
• Working accounts in a computerized automated environment.

OTHER SKILLS AND ABILITIES

• Use independent and critical thinking skills to achieve assigned objectives.
• Able to organize and prioritize.
• Attention to detail.
• Must be accurate and timely.
• Good decision-making skills required.
• Able to maintain confidential information.

Impekkable/HealthTech is looking for a seasoned Hospital Accounts Receivable Specialist to join our team and support our managed hospitals. 100% Remote, Permanent, Full-time Must have hospital complex claims and denials experience ZERO micro-management – Must be able to work independently and stay on task SUMMARY This role is responsible for capturing reimbursement for hospital billed claims and denials. The ideal candidate must have a minimum of 3 years of hospital collections/claims/denials experience and possess a strong knowledge of Commercial, Third-Party Insurance Accounts, including but not limited to Medicaid, Managed Care, and Other Government payors. They must also have an in-depth understanding of payor contracts to include rules and guidelines governing payor collection activities and be able to “work” accounts in a computerized automated environment. This person’s focus will be on 61+ A/R at a Critical Access Hospital. ESSENTIAL DUTIES AND RESPONSIBILITIES

• Validate denial reason and ensure coding is accurate and reflects denial reasons for accounts that are under or partially paid.
• Maintain patient account records and resolve third party payer issues.
• Responsible for accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers.
• Exhibit expertise in the billing system to guarantee that all features are employed for the most effective processing of claims.
• Responsible for correcting, completing, and processing claims for all payer codes;
• Analyze and interpret that claims are accurately sent to insurance companies.
• Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports.
• Process appeals online or via paper submission.
• Assist in reconciling deposits and patient collections.
• Assist with billing audit related information.
• Process refund requests.
• Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsideration.
• Follow specific payor guidelines for appeal submission.
• Research contract terms/ interpretation and compile necessary supporting documentation for appeals.
• Ensure proper account documentation, which is clear, concise, and includes all pertinent information.
• Conduct daily calls to payors to obtain payment resolution and account status information.
• Understand and apply the terms of client’s contracts.
• Consistently follow established processes and procedures for all assigned accounts and projects to ensure prompt payments and account resolutions.
• Make appropriate and necessary corrections to patient account information as needed to ensure timely payment through appeal, reconsideration, rebilling.
• Escalate immediate and appropriate payor trends and issues to management which impact cash, aging, and processes.
• Maintain or exceed 95% of established productivity goals and quality standards (50 to 80 accounts).
• Utilize company software in all account follow-up activities and promote working toward paperless environment.
• Ensure professional verbal and written communication with facilities, clients, and co-workers following established guidelines.
• Obtain management approval when necessary to communicate with external clients about internal processes and procedures.
• Follow and maintain patient, account, and client confidentiality always.
• Adhere to HIPAA and Compliance Policy Guidelines.
• Follow timekeeping and attendance policy daily.

OTHER DUTIES AND RESPONSIBILITIES

• Perform other duties as assigned.
• Provide leadership to others through example and sharing of knowledge and skill.
• Comply with all company policies and procedures, including the corporate compliance program.
• Actively promote HealthTech/Impekkable in all interactions with customers.
• Act in accordance with company stated values – integrity, initiative, respect, personal commitment, excellent performance, and customer satisfaction.

EDUCATIONAL AND EXPERIENCE REQUIREMENTS

• High school diploma or GED required.
• Must have hospital complex claims and denials experience
• Knowledge of Commercial, Third-Party Insurance Accounts including but not limited to Medicaid, Managed Care, and Other Government Rules and Guidelines governing collection activities.

COMPUTER OPERATIONS

• Previous experience should include basic computer knowledge.
• Knowledge of Microsoft Word and Excel required.
• Working accounts in a computerized automated environment.

OTHER SKILLS AND ABILITIES

• Use independent and critical thinking skills to achieve assigned objectives.
• Able to organize and prioritize.
• Attention to detail.
• Must be accurate and timely.
• Good decision-making skills required.
• Able to maintain confidential information.

Impekkable/HealthTech is looking for a seasoned Hospital Collector | Claims & Denials Specialist to join our team and support our managed hospitals. 100% Remote, Permanent, Full-time Must have hospital complex claims and denials experience ZERO micro-management – Must be able to work independently and stay on task SUMMARY This role is responsible for capturing reimbursement for hospital billed claims and denials. The ideal candidate must have a minimum of 3 years of hospital collections/claims/denials experience and possess a strong knowledge of Commercial, Third-Party Insurance Accounts, including but not limited to Medicaid, Managed Care, and Other Government payors. They must also have an in-depth understanding of payor contracts to include rules and guidelines governing payor collection activities and be able to “work” accounts in a computerized automated environment. This person’s focus will be on 61+ A/R at a Critical Access Hospital. ESSENTIAL DUTIES AND RESPONSIBILITIES

• Validate denial reason and ensure coding is accurate and reflects denial reasons for accounts that are under or partially paid.
• Maintain patient account records and resolve third party payer issues.
• Responsible for accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers.
• Exhibit expertise in the billing system to guarantee that all features are employed for the most effective processing of claims.
• Responsible for correcting, completing, and processing claims for all payer codes;
• Analyze and interpret that claims are accurately sent to insurance companies.
• Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports.
• Process appeals online or via paper submission.
• Assist in reconciling deposits and patient collections.
• Assist with billing audit related information.
• Process refund requests.
• Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsideration.
• Follow specific payor guidelines for appeal submission.
• Research contract terms/ interpretation and compile necessary supporting documentation for appeals.
• Ensure proper account documentation, which is clear, concise, and includes all pertinent information.
• Conduct daily calls to payors to obtain payment resolution and account status information.
• Understand and apply the terms of client’s contracts.
• Consistently follow established processes and procedures for all assigned accounts and projects to ensure prompt payments and account resolutions.
• Make appropriate and necessary corrections to patient account information as needed to ensure timely payment through appeal, reconsideration, rebilling.
• Escalate immediate and appropriate payor trends and issues to management which impact cash, aging, and processes.
• Maintain or exceed 95% of established productivity goals and quality standards (50 to 80 accounts).
• Utilize company software in all account follow-up activities and promote working toward paperless environment.
• Ensure professional verbal and written communication with facilities, clients, and co-workers following established guidelines.
• Obtain management approval when necessary to communicate with external clients about internal processes and procedures.
• Follow and maintain patient, account, and client confidentiality always.
• Adhere to HIPAA and Compliance Policy Guidelines.
• Follow timekeeping and attendance policy daily.

OTHER DUTIES AND RESPONSIBILITIES

• Perform other duties as assigned.
• Provide leadership to others through example and sharing of knowledge and skill.
• Comply with all company policies and procedures, including the corporate compliance program.
• Actively promote HealthTech/Impekkable in all interactions with customers.
• Act in accordance with company stated values – integrity, initiative, respect, personal commitment, excellent performance, and customer satisfaction.

EDUCATIONAL AND EXPERIENCE REQUIREMENTS

• High school diploma or GED required.
• Must have hospital complex claims and denials experience
• Knowledge of Commercial, Third-Party Insurance Accounts including but not limited to Medicaid, Managed Care, and Other Government Rules and Guidelines governing collection activities.

COMPUTER OPERATIONS

• Previous experience should include basic computer knowledge.
• Knowledge of Microsoft Word and Excel required.
• Working accounts in a computerized automated environment.

OTHER SKILLS AND ABILITIES

• Use independent and critical thinking skills to achieve assigned objectives.
• Able to organize and prioritize.
• Attention to detail.
• Must be accurate and timely.
• Good decision-making skills required.
• Able to maintain confidential information.

Impekkable, an award-winning healthcare consulting and hospital management firm is looking for a Remote Collections Supervisor to join its team. The ideal candidate will have a background and experience with denials and complex claims. Full-time, permanent position 100% Remote JOB DETAILS We are looking for a strong, dedicated Collection Supervisor to lead, motivate, and inspire our collections team. The ideal candidate will have a strong background in debt recovery, excellent leadership skills, and an exceptional eye for detail. In this role, you will be responsible for overseeing the day-to-day operations of the collections department, ensuring all activities are conducted in compliance with all healthcare and company policies and regulations. Along with overseeing the team, you will be responsible for developing and implementing strategies to improve collection rates, reduce delinquency, and enhance client satisfaction. Training and mentoring the collections team, monitoring their performance, and providing regular feedback to achieve goals and targets will be a large part of this position. Additionally, you may be asked to step in and help, handle escalated cases, negotiate payment plans, and collaborate to resolve issues that could arise. ESSENTIAL FUNCTIONS

• Performs all duties inherent in a supervisory role.
• Experience with denials and complex claims to perform collection functions and manage team.
• Oversee daily operations of the collections department.
• Support the workforce management function by ensuring Collections Representatives adhere to the daily dialer schedule.
• Develop and implement strategies to improve collection rates.
• Ensure compliance with company policies and legal regulations.
• Train and mentor collection agents.
• Monitor and evaluate the performance of collection agents.
• Handle escalated collection cases.
• Negotiate payment plans with customers.
• Collaborate with other departments to resolve issues.
• Prepare and present regular reports on collection activities.
• Maintain accurate records of all collection activities.
• Identify and address areas for improvement in the collections process.
• Ensure timely and effective communication with customers.
• Manage and update customer accounts.
• Implement and monitor collection policies and procedures.
• Provide regular feedback to collection agents.
• Assist in the recruitment and selection of new collection agents.
• Stay updated on industry trends and best practices.
• Ensure high levels of customer satisfaction.
• Develop and maintain relationships with key stakeholders.
• Manage the collections budget and resources effectively.

EDUCATION/EXPERIENCE

• Bachelor's degree in Finance, Accounting, Business Administration, or related field.
• Strong knowledge of debt collection laws and regulations.
• Excellent leadership and team management skills.
• Proven experience as a Collections Supervisor or similar role.
• Outstanding communication and negotiation skills.
• Commitment to continuous improvement and professional development.
• Strong analytical and problem-solving abilities.
• Proficiency in MS Office and collection software.
• Strong attention to detail.
• Ability to handle sensitive and confidential information.
• Excellent organizational and time management skills.
• Ability to develop and implement effective collection strategies.
• Experience in training and mentoring staff.
• High level of professionalism and integrity.
• Strong customer service orientation.
• Ability to work under pressure and meet deadlines.
• Ability to handle escalated cases effectively.
• Knowledge of financial and accounting principles.
• Ability to prepare and present reports.
• Experience in budget management.