AR Specialist_

**Overview**
**Dialysis Clinic, Inc.** is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a strong culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.
**The AR Specialist** will provide continual and accurate documentation regarding eligibility, authorization, and other insurance coverage information for assigned patients by staying in contact with clinical staff and social workers, calling insurance companies and providing online verification. Responsible for reviewing all primary payments and denials for accuracy as well as sending out initial claims, corrected claims and appeals.
**Starting pay:** $23.00/hr.
This position is for the California / NM region.
**Benefits** :
+ Paid 12-week training with preceptor
+ Comprehensive medical, dental and vision benefits
+ Life and long-term care insurance provided at no additional expense to employee
+ Paid time off (PTO) including holidays
+ Extended Sick Bank (ESB) in addition to PTO – paid time for doctor appointments, sickness or medical leave
+ Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent
+ Education reimbursement
+ Employee assistance program
+ Wellness program
+ Among others
**Responsibilities**
**What You Can Expect:**
+ Review patient’s insurance coverage upon admission to determine coordination of benefits, eligibility, and other factors.
+ Obtain and enter any authorizations for new patients that have coverage that requires it, as well as follow up on any expired authorizations/referrals for assigned clinics.
+ Review remits, accounts, and other correspondence to determine patient responsibilities for billing purposes.
+ Maintain records of patient billing cycle for each clinic to ensure all billing is completed according to policy and procedure.
+ Properly document all follow up and steps taken in electronic system to ensure accounts are being followed up on and in a timely manner.
+ Conduct month end processes and close clinics by reconciling treatment totals, reviewing monthly charges, resolving discrepancies, and reviewing other monthly reports.
+ Review, enter, and coordinate updating current NDC codes being used at designated clinics.
+ Ensure all claims go to payers via electronic clearing house, keying into portals, etc. once all charges have accurately been recorded onto the patient accounts.
+ Review contracts both original and system loaded and coordinates with internal departments to ensure appropriate billing system resolutions.
+ Review Medicare and other primary payments to ascertain which accounts need to have secondary claims submitted to other payers.
+ Review correspondence and remits via cash management system to identify incorrect payments, inappropriate denials, or complete required adjustments. Follow up on incorrect postings, incorrect payments and/or denials, and complete work to resolve account.
+ Contact insurance companies via telephone call to determine steps on accounts that require follow up due to lack of payment or incorrect reimbursement.
**Qualifications**
**Successful Candidates Bring:**
+ Excellent communication skills
+ Demonstrated clinical excellence
+ Desire to collaborate with care teams
+ Ability to problem solve
**Education/Training:**
+ Associates degree preferred, but not required.
+ Two years of experience in a similar field or an Associate’s degree and one year of experience in a similar field or an equivalent combination for education and experience.
DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status.
**DCI’s Differentiator:**
Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we’re hiring in a clinic near you! www.dciinc.jobs
DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at [email protected] or 615-327-3061. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible.
For more information about equal opportunity please see:
ol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf;
ol.gov/ofccp/regs/compliance/posters/pdf/OFCCP\_EEO\_Supplement\_Final\_JRF\_QA\_508c.pdf;
ol.gov/ofccp/pdf/pay-transp\_formattedESQA508c.pdf; and
lrb.gov/sites/default/files/attachments/basic-page/node-3788/employeerightsposter-8-5x11.pdf.
Security Roles and Responsibilities can be reviewed at:ciinc.org/security-roles
**Job Location** _US-CA-Sacramento | US-NM-Albuquerque_
**Posted Date** _6 days ago_ _(6/18/2024 5:57 PM)_
**_ID_** _2024-19327_
**_\# of Openings_** _1_
**_Address_** _1771 Stockton Blvd_
**_Category_** _Healthcare_