Are you looking for a career that aligns your passion and values with your purpose? Then we are looking for you!
At Valera Health we are at the forefront of tele-mental health. We are committed to delivering compassionate mental health care that is accessible and affordable to all. To learn more about Valera, check us out HERE.
Watch to learn more about Valera Health here!
Valera Health is a best-in-class tele-mental health service company that uses digital technology to deliver high-quality and culturally appropriate behavioral healthcare.
At Valera Health, we practice complete care and believe that great care happens when we work together. We employ a comprehensive care approach that combines therapy and medication management with overall wellness promotion. We make sure our patients are supported between visits with personalized tools and resources and an easy way to reach out for help. Our team works together to provide treatment that is comprehensive, coordinated, and tailored to patients.
AR Specialist (This role is 100% remote)
Responsibilities
- Reviews denied claims to ensure billing was appropriate and make corrections as needed, prior to sending appeals, reconsiderations or resubmission to payers.
- Investigate claims with no payer response to ensure claim was received by payer
- Strong understanding of payer websites and appeal process by all payers including commercial and government payers including Medicare, Medicaid, and Medicare Advantage plans
- Reviews and finds trends or patterns of denials to prevent errors
- Assists and confers with coder and AR supervisors concerning any coding problems.
- Supports and participates in process and quality improvement initiatives.
- Achieve goals set by supervisor regarding error-free work, transactions, processes and compliance requirements.
- Exhibit exceptional customer service skills; answering patient and insurance calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally.
- Proactive resolution of issues and timely response to questions and concerns.
- Clearly document issues and resolutions.
- Responsible for working follow up work queues.
- Responsible for identifying missing payments, overpayments, and analyzing credits on accounts.
- Ability to successfully track and follow up on information requests from payer.
- Other duties as assigned.
Education and experience
This position requires a high school diploma or equivalent, but employers often prefer candidates with an associate degree or higher. Prior customer service experience a plus.
Required skills and qualifications
- Minimum of 3 years’ experience in a medical billing department with strong AR account follow-up, appeals
- Demonstrated knowledge of and experience in Healthcare medical billing, claims processing, follow-up and appeals
- Strong reasoning, critical thinking and analytical skills.
- Ability to work independently, flexibly shifting from big picture to detailed tasks, with high productivity, and regularly execute to deadlines.
- CPB certification is preferred but not required.
- High School Diploma or GED required
- Experience working with NextGen is a plus
- Experience within Telehealth or Mental health space preferred
Preferred qualifications
- CPB certification is preferred but not required.
- Experience working with NextGen is a plus
- Experience within Telehealth or Mental health space preferred
Benefits include but not limited to:
- Health, Vision & Dental Insurance
- 401k through the Standard
- Paid Time Off
- Short Term Disability
- Life Insurance
- Office Equipment
- Many more
Be part of our mission!
We are very proud of the work that we do and it takes a great team to make it happen! If you are interested in one of our open positions, we’d love to start the conversation.
We hire people from all backgrounds because that’s what it takes to build a team that can reach and support those in need of high-quality behavioral healthcare. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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