Experienced Fully Remote Health Revenue Recovery (HRR) Follow-Up Representative – West Reading, PA

Are you a highly motivated and detail-oriented professional with a passion for insurance follow-up and revenue recovery? Do you thrive in a fast-paced, dynamic environment where no two days are ever the same? If so, we encourage you to apply for the Experienced Fully Remote Health Revenue Recovery (HRR) Follow-Up Representative position at Tower Health, a leading healthcare organization in West Reading, PA.

About Tower Health

Tower Health is a regional healthcare system that provides a full range of medical services through its network of six hospitals, as well as outpatient health centers, physician practices, and other services. Our mission is to improve the health and well-being of the communities we serve, and we're committed to delivering high-quality, patient-centered care that meets the unique needs of each individual. As a fully remote HRR Follow-Up Representative, you'll play a critical role in ensuring that our patients receive the reimbursement they deserve, and that our revenue cycle runs smoothly and efficiently.

Responsibilities

As a Fully Remote HRR Follow-Up Representative, you'll be responsible for a wide range of tasks, including:

• Investigating claims status with insurance carriers and correcting and resubmitting denied claims to ensure maximum reimbursement
• Reviewing and interpreting Explanation of Benefits (EOBs) and reason (ANSI) codes to identify potential issues and opportunities for improvement
• Submitting appeals and reconsiderations on claim rejections, underpayments, and denials
• Utilizing insurance carrier websites to research and resolve claims issues
• Collaborating with internal stakeholders to resolve claims-related issues and improve revenue cycle efficiency
• Maintaining accurate and up-to-date records of claims status and follow-up activities
• Providing excellent customer service to patients, families, and healthcare providers

Key Responsibilities:

* Investigate claims status with insurance carriers and correct and resubmit denied claims to ensure maximum reimbursement

• Review and interpret EOBs and reason (ANSI) codes to identify potential issues and opportunities for improvement
• Submit appeals and reconsiderations on claim rejections, underpayments, and denials
• Utilize insurance carrier websites to research and resolve claims issues
• Collaborate with internal stakeholders to resolve claims-related issues and improve revenue cycle efficiency
• Maintain accurate and up-to-date records of claims status and follow-up activities
• Provide excellent customer service to patients, families, and healthcare providers

Qualifications

To be successful in this role, you'll need:

Education Requirements:

+ High School Diploma or GED

Experience Preferred:

+ 1 year of experience in insurance follow-up or a similar role + Epic experience preferred

Experience Required:

+ Submitting appeals and reconsiderations on claim rejections, underpayments, and denials + Knowledge of both government and commercial insurance plans + Ability to review and interpret EOBs and reason (ANSI) codes + Ability to use and understand insurance carrier websites

Ideal Candidate:

We're looking for a highly motivated and detail-oriented individual with excellent communication and interpersonal skills. The ideal candidate will possess:

• Excellent communication skills
• Excellent interpersonal skills
• General clerical skills
• Good reasoning skills
• Organizational skills
• Ability to work independently
• Problem-solving skills
• Ability to research carrier sites and claims

Skills and Competencies:

To succeed in this role, you'll need to possess a range of skills and competencies, including:

• Strong analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Strong organizational and time management skills
• Ability to adapt to changing priorities and deadlines
• Strong attention to detail and accuracy
• Ability to maintain confidentiality and handle sensitive information

Career Growth Opportunities and Learning Benefits:

At Tower Health, we're committed to helping our employees grow and develop their careers. As a Fully Remote HRR Follow-Up Representative, you'll have access to a range of learning and development opportunities, including:

• On-the-job training and mentorship
• Ongoing education and training programs
• Opportunities for advancement and career growth
• A supportive and collaborative work environment

Work Environment and Company Culture:

As a fully remote employee, you'll have the flexibility to work from anywhere, at any time, as long as you have a stable internet connection. Our company culture is built on a foundation of collaboration, innovation, and excellence, and we're committed to creating a work environment that's inclusive, supportive, and fun.

Compensation, Perks, and Benefits:

We offer a competitive salary and a range of benefits, including:

• Competitive salary
• Comprehensive health insurance
• Retirement savings plan
• Paid time off and holidays
• Flexible work arrangements
• Opportunities for professional development and growth

How to Apply:

If you're a motivated and detail-oriented individual with a passion for insurance follow-up and revenue recovery, we encourage you to apply for the Experienced Fully Remote Health Revenue Recovery (HRR) Follow-Up Representative position at Tower Health. Please submit your application, including your resume and a cover letter, to [insert contact information]. We can't wait to hear from you! Apply for this job