Healthcare Outcomes Performance Co. (HOPCo)

Payment and Reconciliation Specialist- HYBRID

Healthcare Outcomes Performance Co. (HOPCo)  •  Phoenix, AZ (Remote)  •  25 days ago
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Job Description

Benefits

  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events

Minimum Qualifications

  • A minimum of two years' experience in medical billing and/or cash applications or equivalent experience in a healthcare environment.
  • Prefer previous cash posting experience in a multiple lockbox environment.
  • Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.

Essential Functions

  • Has an understanding of the accounts receivable posting process for medical billing including charges, payments, and adjustments.
  • Posting financial transactions through the use of automated systems and team processes.
  • Accurately interprets insurance explanation of benefits to ensure proper posting.
  • Retrieves and uploads 835 remittance files into patient account system ensuring file reconciliation including reviewing and posting exception files.
  • Participation in optimizing productivity within the area.
  • Maintains knowledge of the work area and optimizes the use of available technology.
  • Researches all information needed to process and complete insurance and/or patient refunds by obtaining information from providers, insurance plans, ancillary services staff, and patients.
  • Accurately processes insurance and patient refund requests by demonstrating an advanced understanding of the coordination of benefits and eligibility requirements.
  • Receives and processes all refunds utilizing insurance contracts and requirements for accuracy.
  • Processes and posts refund checks as received into the patient accounting system.
  • Establishes and maintains effective communication with physicians, staff, and other departments as required.
  • Accepts and completes additional requests from the Cash Applications Supervisor.
  • Adheres and understands the Business Office rules and regulations in regards to Medicare and HIPAA guidelines.
  • Effectively forwards accounts requiring work up or resubmission to the business office staff.

About us:

The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!?

  • #1 for Orthopedic Practices
  • #1 for Healthiest Healthcare Employers
  • #3 for Best Healthcare Workplace Culture
  • Winner in Best Places to Work
Healthcare Outcomes Performance Co. (HOPCo)

About Healthcare Outcomes Performance Co. (HOPCo)

Healthcare Outcomes Performance Company (HOPCo) is the leading provider of musculoskeletal value-based health outcomes management, service line management and practice management. This includes comprehensive management and optimization of specialties such as orthopedics, spine, hand, pain management, rehabilitation and neurology.

HOPCO’s integrated care and analytics platform has proven to increase the quality of patient care and program revenue while reliably reducing the total cost of care across the care continuum for practices, health systems and payors alike.

HOPCo’s affiliated payors, practices and health systems successfully participate in highly efficient value-based contracting (bundled payments, capitated population health programs, and other risk-based arrangements) utilizing HOPCo’s proprietary platforms, IT solutions, integrated analytics, and standardized care pathways. This helps our partners obtain real time, actionable insights into their systems, allowing them to comprehensively manage the entire business while improving outcomes for their treasured patients.

As a result, HOPCo has become the only organization with proven and sustainable success in population health management of musculoskeletal specialty care.

Industry
Healthcare & Social Services
Company Size
201-500 employees
Headquarters
Phoenix, AZ
Year Founded
2000
Website
hopco.com
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