Jr Ar Review Specialist

hace 2 semanas

Heredia, Costa Rica Auxis A tiempo completo

Job Summary:
You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services. This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.

The AR Review Agent will be working to ensure that reinstatements, modifications, and cancellations of insurance policies are timely and accurately updated in the necessary databases. You will have an important role in determining the patient’s insurance status and extent of insurance benefits, ensuring an efficient billing process for medical providers.

**Responsibilities**:

- Reviews patient accounts for accuracy prior to placement to outside collection vendors
- Receive account change requests and review required changes.
- Update insurance plan changes on customer accounts.
- Review account information and update required information, balances, etc.
- Researches and responds to vendor inquiries
- Reviews correspondence in the CWF system and takes appropriate account and document action
- Reviews and authorizes affidavits related to patient billing, as applicable.
- Ensures vendor inventories reconcile to SSC systems by completing recons and updating I-Plans and or placements as needed by the end of each month.
- Assist with the Medicaid Eligibility vendor reconciliation, as requested. Manages the onboarding and termination process for vendors
- Provides support during vendor transitions: Medicaid Eligibility, Early Out, Primary and Secondary agencies.
- Responds to requests which include research payments, contractual, approving arrangements, audits, etc.
- Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”

Skills and Experience:

- English - Spanish Language (Oral and writing 85% or higher), (B2+ or above).
- Must have a high school diploma or in progress to complete high school.
- At least 6 months of experience in Customer Service or Backoffice positions.
- The resource will adjust its local schedule with the resources supporting this position during Daylight Savings time changes in the Eastern Time Zone.
- A genuine interest in working with and helping customers.
- Must possess excellent communication skills and involvement.
- Demonstrated experience in providing high levels of customer satisfaction and performance in a high transaction volume/high demand environment preferred.
- Good presentation and a polite, tactful, and friendly character.
- Healthcare experience is a plus.

About Auxis:
Auxis prioritizes employee growth and development to help you advance your career. Auxis’ culture empowers you to be your best in the interest of a common team goal. We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.
- Benefits_
- Health benefits including medical, vision, and dental.
- Transportation subsidy
- Asociacion Solidarista
- Training and development programs
- Employee recognition program
- Paid time off and family-paid leave
- Paid day off for your birthday

  • Jr. Healthcare Specialist

    hace 4 días

    Heredia, Costa Rica Auxis A tiempo completo

    Job Summary: The Jr Health Care Specialist will review post-discharge, prebill accounts that do not have authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that does not require a clinical review. Communicates with third-party payors to resolve...

  • Client Review Specialist

    hace 2 semanas

    Heredia, Costa Rica Eagan Immigration PLLC A tiempo completo

    We are looking for a Client Review Specialist to help current clients review and finalize their immigration forms and declarations prior to filing with USCIS. The Client Review Specialist will demonstrate compassion and empathy for the client, provide detailed and informed information to the clients from attorneys, and share a comprehensive debrief of the...

  • Client Review Specialist

    hace 6 días

    Heredia, Costa Rica Eagan Immigration PLLC A tiempo completo

    We are looking for a Client Review Specialist to help current clients review and finalize their immigration forms and declarations prior to filing with USCIS. The Client Review Specialist will demonstrate compassion and empathy for the client, provide detailed and informed information to the clients from attorneys, and share a comprehensive debrief of the...

  • Jr .recruiting Specialist

    hace 1 semana

    Heredia, Costa Rica Auxis A tiempo completo

    Job Summary: The Jr. Recruiting Specialist will provide support to the full range of the recruiting and selection cycle and functions. The Specialist will be responsible for sourcing, recruiting, and screening applicants for a variety of positions, including Customer Service, and back office process roles. The Specialist must be able to work in a fast-paced...

  • Ar Financial Analyst, Aws Ar Latam-br

    hace 4 días

    Heredia, Costa Rica Amazon Support Services Costa Rica SRL A tiempo completo

    1+ years of finance experience - 2+ years of Accounts Receivable or Account Payable experience - Knowledge of standard software including Excel, Access, Oracle, Essbase, SQL and VBA skills - Experience using data to influence business decisions - Knowledge of Six Sigma defect reduction techniques (Lean, etc.) Amazon's Finance Operations department seeks a...

  • Jr Appeals Specialist

    hace 1 semana

    Heredia, Costa Rica Auxis A tiempo completo

    Job Summary: ***The Appeals Specialist is responsible for performing end to end tasks for technical appeals. **Responsibilities**: - Triage incoming inventory for the Appeals team, validating appeal criteria is met - Compose technical denial arguments for reconsideration, including both written and telephonically - Identify contract protection that can be...

  • Pre-bill Denial Unworked Pdu

    hace 2 semanas

    Heredia, Costa Rica Auxis A tiempo completo

    Job Summary: The Jr Health Care Specialist will review post-discharge, prebill accounts that do not have authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that does not require a clinical review. Communicates with third-party payors to resolve...

  • Product Portfolio Specialist

    hace 7 días

    Heredia, Costa Rica Huntsman A tiempo completo

    Job Description: Product Portfolio Specialist Huntsman Corporation is a publicly traded global manufacturer and marketer of differentiated and specialty chemicals. Our chemical products number in the thousands and are sold worldwide to manufacturers serving a broad and diverse range of consumer and industrial end markets. We operate more than 70...

  • Partner Operation Specialist Ii

    hace 1 semana

    Heredia, Costa Rica Object Technology Solution A tiempo completo

    **OTSI (Object Technology Solutions, Inc) has an immediate opening for a Partner Operations Specialist II.** **Partner Operations Specialist II (REMOTE/HYBRID/COSTA RICA)** **Description**: Partner Operations Specialist, Opportunity Management, Global Partner Operations The Partner Operations specialist will perform various Opportunity Registration...

  • Accounts Receivable

    hace 1 semana

    La Asunción District, Heredia, Costa Rica BMNS A tiempo completo

    Position Overview:BMNS is seeking a detail-oriented and proactive Accounts Receivable & Collections Specialist to join our finance team. This role is ideal for individuals with a strong background in billing, credit management, and collections who are eager to contribute to optimizing business processes and improving cash flow. The specialist will be...