Claims Success Associate
2 weeks ago
Physical therapy is powerful-for developing strength, managing emerging conditions, or recovering from surgery. But it's challenging for physical therapy to make a significant clinical impact because therapists and patients are worn out. Through technology and innovation, Luna makes it easier to give and receive care. Driving faster recoveries for lasting health in an industry long overdue for change, Luna is reimagining the physical therapy experience for all.
Revenue Cycle Associate (Accounts Receivable)
The Claims Success Team ensures that all aspects of medical billing and coding from the patient verification through the insurance processing and patient collections is compliant and timely. The team ensures quality by monitoring queues and alerts, as well as obtaining prior authorizations and following compliance and billing rules for each payer to send out clean claims to the insurance for timely payments. The Revenue Cycle Team follows up on denied claims and claims with no response to drive down accounts receivable and accurately collect patient responsibility. The team is responsible for all patient support on their billing account including, but not limited to, taking payments, answering questions on the billing account, assisting patients with insurance questions and rebilling as needed
What you will do:
Post charges daily
Submit claims electronically daily and monthly as defined by processes
Monitor claim status and denials to identify and address rejected claims
Investigate reasons for rejected claims, make necessary corrections, and resubmit claims as required.
Learn/understand the basics of insurance billing: PPOs, HMOs, Medicare, Workers Comp to support the team and other teams as necessary.
Maintains industry level working knowledge of medical billing occurring in Luna
Support Admin functions.
Queue based work for their sole job function (authorizations, insurance payment posting, etc.)
Achieved goals set by management.
Generally starts to function more so in one of the departments: Patient Payments, Insurance Payments, Claims or AR while supporting all departments as needed.
Achieving daily, weekly, monthly and quarterly goals to ensure claims, payments and supporting documentation is completed.
Performs Ad Hoc tasks at managers discretion.
You will be a good fit if you are:
Organized with the ability to identify and track progress against priorities.
At least 1 year of experience with medical accounts receivable, preferably in outpatient therapy
Proven experience in healthcare billing
Demonstrated training ability
$18 - $21 an hour
Luna Values
Care Exceptionally
We value safety and trust even when mistakes occur. We prioritize open and purposeful communication, addressing concerns early and often. We apply creative and innovative efforts aimed at enabling the success of our patients, therapists, physicians, partners, and team members.
Incredibly Relentless
We prioritize persistence even over immediate success. We understand that continuous effort often leads to greater long-term achievements. We empower each other to make decisions, and approach our goals deliberately and holistically.
Be Impactful
We prioritize fewer high-impact goals over lots of low-impact goals. We are decisive, yet keep an open-mind. We assume positive intent, and hold one another accountable. We know that the details matter, and take ownership in solutions that prioritize the patient and therapist experience.
Become 1% Better, Every Day
We value continual growth over the professional "comfort zone." We have a culture of curiosity and an obsession for constant improvement. We believe there's always a better way to do things. We celebrate our successes and learn from our failures.
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