Impact you will make A Revenue Opportunity Rep III within Government Reimbursement will be responsible for completing all necessary research to identify claims eligible for adjustment and/or original billing. Rep III’s are required to have a high level understanding within the industry and recognize FinThrive’s acceptable quality standards. The Rep III will be responsible for communicating effectively internally to ensure the customer experience meets their expectations.
What you will do The following are essential tasks of the Rep III position. Daily job duties are not limited to the list below.
• Ability to identify insurance plans Medicare, Medicare Advantage, Medicaid, Medicaid Advantage, Commercial.
• Analyze relevant source data, identifying data issues.
• Perform data analysis, profiling, discovery, assessment and validation using off-the-shelf as well as internal tools.
• Create queries/reports by linking data from multiple sources, using analysis tools including Excel and SQL.
• Recognize discrepancies between current project and previous projects and alert Lead for further investigation.
• Other duties as assigned.
What you will bring
• Bachelor's degree
• Intermediate Microsoft Suite skills (Ex: Excel and SQL)
• Strong analytical skills and ability to multi-task with attention to detail and accuracy
• Ability to interact effectively with peers, management and customers
• Proficient in communication, research and critical thinking
• Ability to manage tasks independently, work quickly, take ownership of responsibilities and meet deadlines
• Highly comfortable in a team setting
• Process driven, yet adaptable to change when necessary
• Experience working multiple projects at once
• Excellent organizational skills
What we would like to see
• Experience with Epic, Meditech, McKesson or Cerner EHRs and/or exposure to Healthcare Information
• Technology is a plus 1-2 years’ experience in Healthcare Revenue Cycle Management.
• 2+ years of experience in a healthcare related field
• Background in Medicare claims
• Experience standardizing and validating large data sets
• Ability to collect, organize, analyze, and disseminate significant amounts of information
About FinThrive
FinThrive is advancing the healthcare economy.
For the most recent information on FinThrive’s vision for healthcare revenue management visit finthrive.com/why-finthrive.
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we’re proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at https://finthrive.com/careers#culture.
Our Perks And Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit finthrive.com/careers-benefits.
FinThrive’s Core Values and Expectations
• Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive’s core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
• Support FinThrive’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive’s business practices; this includes becoming familiar with FinThrive’s Code of Ethics, attending training as required, notifying management or FinThrive’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Physical Demands
The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Statement of EEO
FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
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