Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700 urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.Experity offers the following:Benefits – Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successfulEmployee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.Flexibility – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.Team Building – We bring our Team Members together when we can to strengthen the team, build relationships, and have fun We even have a family company picnic and a holiday party.Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.Hybrid: Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed.Job Type: Full timeCompensation: Starting between $20 - $22 hourly Responsibilities: Effectively manage the accounts receivable (AR) related to provider contracting and credentialing for assigned clients, including reviewing electronic claim rejections, claim denials, and claim processing issuesServe as the first line of review, research, and documentation of providers being added to the system to ensure compliant billingMaintain system configuration and continuous review to ensure billing continues to follow compliant guidelinesResponsible for being the liaison between Revenue Cycle Management (RCM) and the Compliance Manager regarding contracting and credentialing to ensure compliant billing is followedEffectively research, identify trends, determine root cause, and document findings relating to provider contracting and credentialing issues and communicate effectively with the Accounts Receivable (AR) Supervisor, Client Success Managers (CSM), and/or Client to achieve resolutionPrioritize workflow as required to ensure accounts receivable (AR) issues are reviewed and acted on in a timely fashionSubmit corrected insurance claims and/or appeals, as necessary, with appropriate documentation based on payer guidelinesAssist internal and external parties with questions related to contracting and credentialing (AR)Communicate daily with internal and external customers via phone calls and written communicationContribute to team effort by accomplishing related results as neededMaintain patient confidence by following HIPPA guidelinesComply with applicable laws regarding medical billing standardsMaintain work operations by following policies and proceduresMeet productivity and accuracy standardsOther duties as assigned Education and Experience: High School diploma or equivalent Minimum of one year of related experience in a business, medical or technical environment Understanding of medical terminology and insurance laws/guidelines Understanding of relevant credentialing terms Proficient in Windows based applications and MS office Every team member exhibits our core values:Team FirstLift Others UpShare OpenlySet and Crush GoalsDelight the Client Salary: . Date posted: 11/06/2024