Remote Healthcare Account Claims Representative – ACTH – Alabama

Alabama, USA Detroit, MI, USA Florida, USA Georgia, USA Michigan, USA South Carolina, USA Texas, USA Virtual Req #1522

Monday, June 7, 2021

Convergent Revenue Cycle Management Inc., a company which specializes in healthcare reimbursement for hospitals all over the United States, is interviewing for a Remote Accounts/Claims Specialist position. The selected candidate will report directly to a Supervisor or Supervising Attorney. Responsibilities include, but are not limited to, working a caseload of 300 to 350 claims, contacting insurance companies to appeal wrongfully denied or underpaid insurance claims, identifying client/payer issues, billing claims and adjusting balances in EPIC and maintaining a working knowledge of assigned client hospitals and insurers. Full week of paid Virtual Training will be provided. The successful Candidate(s) will then work remotely from a HIPAA compliant home office.


  • Draft appeals and demands to insurance companies to ensure timely resolution and payment of claims, as well as argue verbally over the phone with insurance companies to get denials overturned and paid
  • Perform contractual analysis on paid claims to ensure that our client hospitals are reimbursed accurately and according to contract, and to ensure payment integrity
  • Must work with the client to ensure the mutual success of our respective organizations
  • Know how and when to involve key players in an account and effectively use internal employer resources to provide the best client solution.
  • Report any reimbursement trends/delays to supervisor
  • Effectively utilize various means for collections, including but not limited to phone, fax, mail and online methods
  • Attend meetings and complete post-meeting reports and summaries
  • Establish regular communication with client regarding outstanding issues and program performance

Education and Experience

  • Minimum 3 years’ experience in a doctor’s office, clinic, or a healthcare revenue cycle (claims, billing, coding, reimbursement etc.), role is required
  • Experienced with Microsoft Office including PowerPoint, Excel, and Word
  • Appeal Writing experience required
    EPIC experience with billing and balance adjustment is required
  • EPIC experience with billing and balance adjustment is required
  • Degree in Health Management/Administration Preferred


  • Candidate must have excellent oral and written communication skills
  • Individual must be high energy, creative, customer focused, proactive and action oriented
  • Must have demonstrated competency in working in teams, and ability to effectively communicate with all levels
  • Excellent interpersonal, oral and written communication skills
  • Ability to work independently
  • Ability to work with various EHR software (example: EPIC, Cerner, Meditech etc.)
  • Outstanding organizational, analytical and problem-solving skills
  • Strong attention to detail
  • Ability to work well under pressure

The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and requirements.

Convergent Revenue Cycle Management Inc., is an Equal Opportunity Employer (EOE). Any employment offers are contingent upon successfully passing a Criminal Background Check and/or Drug Screen.

Other details

Click Here To Apply

%d bloggers like this: