Research and Resolution Specialist

2 weeks ago


Seal Beach, California, United States Aveanna Healthcare Full time
Job Title: Research and Resolution Specialist

Aveanna Healthcare is seeking a highly skilled Research and Resolution Specialist to join our team. As a key member of our billing team, you will be responsible for investigating and resolving open invoices and credits assigned by the Billing Supervisor.

Key Responsibilities:
  • Identify and prioritize outstanding balances based on research and reports provided by RRMs.
  • Research and resolve open invoices and credits by utilizing company software and tools.
  • Recognize and communicate trends in problematic accounts and payers to management.
  • Work all monthly-predetermined balances through adjudication and resolution.
  • Document all efforts to resolve balances utilizing designated software and reports.
  • Build and maintain effective relationships with Aveanna team members and representatives of commercial and state payers relevant to your open balances.
  • Review each payer's specific guidelines (rates, filing/appeal deadlines, forms, etc.) as needed.
  • Promptly reply to inquiries made by Aveanna employees regarding your assignments.
Requirements:
  • High school diploma is required.
  • Proficient computer skills including experience with Microsoft Excel and the internet.
Preferred Qualifications:
  • Undergraduate Degree Preferred.
  • Customer service experience Preferred.
Other Skills and Abilities:
  • Must be able to adhere to confidentiality standards and professional boundaries at all times.
  • Analytical Problem Solving Skills.
  • Strong attention to detail.
  • Effectively manage multiple priorities.
  • Ability to work well in a team environment.
  • Deadline Driven.
  • Time Management.
  • Ability to remain calm and professional in stressful situations.
  • Strong commitment to excellence.
  • Quick-thinking and astute decision making skills.
  • Effective problem-solving and conflict resolution.
  • Excellent organization and communication skills.
Work Environment:
  • Performs duties in an office environment during agency operating hours.

Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.



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