CorroHealth

Revenue Account Executive

CorroHealth

full-time

Posted on:

Location Type: Remote

Location: United States

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Tech Stack

MySQL

About the role

  • Manage client projects and relationships by participating in meetings, managing action items through to completion, answering client questions, and independently writing client emails
  • Compile, QA, and independently manage client processes from start to finish, such as provider relation escalations, bulk issues, regular reports, and invoices
  • Manage internal staffing and project needs, including answering questions from other team members on assigned client and monitoring project profitability
  • Research and determine next steps for complex and new payer issues and reimbursement areas to uncover potential opportunities, such as reimbursement guidelines and healthcare legislation
  • Create and update project plans, including outlining potential risk areas of a hospital-payer contract based on reimbursement structure and how to manually identify within the data
  • Review and summarize pricing documents based on hospital contracts to calculate expected payments, including Medicaid, percentage of charge, per diems, Medicare IPPS, MSDRG, outlier and/or stoploss, implants, drugs, and other reimbursement models
  • Make thorough client observations and recommendations after completing a project audit regarding underpayment exposure, contract risk, and other potential issues
  • Work with other account executives and managers to effectively submit bulk listings of accounts to insurance companies for reprocessing (e.g. rebill)
  • Escalate accounts to insurance provider relations for resolution and payment, including corresponding appropriately with provider relations teams, tracking progress of issues and ensuring that deadlines are met
  • Examine feedback from other internal teams on project activity and provide teams appropriate direction regarding account action when auditing and/or pursuing payments
  • Contribute meeting content to team meetings, AC biweekly meetings, and internal project related meetings
  • Help create and implement process improvements and trainings to protect future revenue
  • Understands and implements best practices for internal processes, communication, and documentation
  • Other duties as assigned

Requirements

  • A minimum of 3 years of experience in areas of research and analysis
  • A minimum of 3 years of verifiable work history
  • A minimum of 3 years of experience with managed care contracts and hospital reimbursement
  • A minimum of 2 years of experience working with clients or equivalent
  • Must have achieved High School Diploma or GED
  • 3 years of experience working in MS Office, with emphasis on advanced Excel skills, requiring experience with formulas, graphing, and reports to manipulate pricing tools and edit project reports
  • Demonstrated problem solving and critical thinking skills
  • Demonstrated ability to meet project deadlines
  • Demonstrated excellent written and verbal communication skills, to include writing professional documents and delivering presentations.
  • Diligent and strong attention to detail.
  • Preferred Skills: Access: Update and link queries and tables, create steps to calculate reimbursement.
  • Understanding the basics of MySQL (specifically: modification in a field or table-following field and data requirements).
Benefits
  • Our purpose is to help clients exceed their financial health goals.
  • We build long-term careers by investing in YOU.
  • We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
managed care contractshospital reimbursementresearch and analysisadvanced ExcelformulasgraphingreportsAccessMySQLpricing tools
Soft skills
problem solvingcritical thinkingattention to detailwritten communicationverbal communicationproject managementclient relationship managementteam collaborationprocess improvementdeadline management
Certifications
High School DiplomaGED