Accounts Receivable Specialist, Diana Health
Maternity care & women’s health services
Open for applications
Maternity care & women’s health services
21-100 employees
Open for applications
21-100 employees
Company mission
To set a new standard of care that empowers, inspires, and supports women to live healthier, more fulfilling lives.
Role
Who you are
- The AR Specialist is a highly motivated individual with a proven ability to manage multiple tasks
- The AR Specialist will possess extensive knowledge of medical billing processes focusing on OB/GYN billing and insurance denials and be proficient in medical terminology, coding, and billing systems
- The AR Specialist will possess exceptional organizational skills, a mature, pleasant, and professional telephone manner, and the ability to prioritize work
- Skill and ability to communicate effectively both verbally and in-writing
- Ability to read and comprehend simple instructions, short correspondences, and memos
- Ability to write
- Simple correspondence
- Ability to effectively present information in one-on-one and small group
- Situations to customers, clients, and other employees of the organization
- Adds, subtracts, multiplies, and divides in all units of measure, using whole numbers, common fractions,
- And decimals
- Ability to understand and calculate figures and amounts such as simple discounts, interests, and
- Percentage measures and to read tabular and bar graphs
- Skill and ability in Physician Billing Systems (PB), Electronic Medical Records (EMR), and Microsoft
- Office applications with working usage of MS Word, Outlook, and Excel
- Extensive knowledge on use of email, search engines, Internet, and ability to effectively use payor
- Websites and portals
- Requires proficiency with various healthcare computer system applications that are used by physicians
- In the office and in hospital settings to support patient care, billing, and financial information
- Ability to advocate on patient’s behalf, listen to patient concerns attentively, and address patient matters
- Promptly, courteously, and respectfully
- High school diploma or GED required
- 3 to 5 years of experience in medical claims collection and be familiar with aging reports, delinquent claims reports, correspondence, EOBs, and other sources of information
- Demonstrated ability to be detail oriented with strong aptitude for accuracy required
- Demonstrated ability to effectively work with others required
- Knowledge of proper business writing standards for letters and memos including the ability to write a correspondence with proper punctuation, grammar, spelling, etc
- Proven effective verbal, listening and written communications skills
What the job involves
- The AR Specialist is a multi-tasking highly skilled position that encompasses all key functions of physician billing
- The AR Specialist position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education
- The AR Specialist supports patient-centered care and Customer Service by serving as a patient advocate during the life cycle of the account
- Under direct supervision, the AR Specialist is expected to maintain productivity, accountability, and produce very efficient and proficient results
- The AR Specialist will manage telephone calls from patients, insurance companies, and medical practices to answer inquiries, follow up on outstanding claims, and update accounts as required
- The AR Specialist ensures that the aging Accounts Receivable (AR) is kept current and that all denials are researched and updated
- The AR Specialist will respond effectively to sensitive inquiries or patient complaints to Diana Health's patient population
- Utilize expertise in OB/GYN billing processes to investigate and resolve insurance denials through
- Effective communication with payers and attention to detail in claim resubmissions
- Navigate various payer portals to monitor claim status and eligibility and resolve issues promptly
- Collaborate with internal teams to gather and provide necessary appeals and claims processing documentation
- Maintain up-to-date knowledge of medical billing regulations and compliance requirements
- Utilize medical collection practices and procedures to manage outstanding accounts receivable
- Ensure accuracy in data entry and record-keeping for billing-related activities
- Prioritize tasks effectively to meet deadlines and achieve goals
- Complies with Revenue Cycle policies and procedures
- Works assigned task lists, work queues, work files and reports
- Maintains current knowledge of third-party payor reimbursements and managed care contracts
- Maintains knowledge and is familiar with physician billing, accounts receivable, and EHR systems
- Utilizes and identifies all components of Explanation of Benefits (EOB)/Explanation of Payments (EOP)
- Accurately counts and tracks all daily activities and production
- Completes and accurately documents activity or communication on accounts
- Meets department production standards consistently as defined by department management
- Works special projects as assigned by Manager, Supervisor, or others
Our take
Diana Health partners with hospitals and health systems, and leverages its online platform, to bring better women’s health outcomes; particularly in pregnancy, childbirth and postnatal wellbeing. The 2019-founded startup is also building its own locations throughout the US with an aim to expand its physical footprint rapidly over the coming years.
The company’s launch and initial fundraise came as maternal health in the US fell under the spotlight. More women die from childbirth in the US than in any other developed country, and worryingly, these figures have doubled since the turn of the 21st century. By working with its network of women’s health practices, Diana is able to deliver a more holistic, individual wellbeing-focused care program, in turn resulting in better health outcomes.
Given the pressure to improve women’s health services across the US, Diana Health could be on the cusp of a period of huge growth. New capital will certainly help it along, as it invests on bringing its care model to new communities across the US and expanding its digital offerings.
Steph
Company Specialist at Welcome to the Jungle
Company
Company benefits
- Health, dental and vision insurance
Company HQ
SoHo, New York, NY
Leadership
Kate Condliffe
(CEO)Has spent the past two decades working with companies and governments to scale high value care models that improve outcomes and lower cost. Prior to starting Diana Health, was the COO of Baby+Co, a network of freestanding birth centers, and before that was the COO of the Clinton Health Access Initiative.
Jim Corum
(CGO)Prior to founding Diana Health, served as VP of Business Development at Vanderbilt University Medical Center and was a Director with The Advisory Board Company. Also served as a VP and Division Manager of PivotHealth, a physician practice management and services company.
Jeffrey De Flavio, MD
(Executive Chairman)Partner and entrepreneur in residence at AlleyCorp. Was the founding CEO of Groups: Recover Together - the largest value-based opiate addiction treatment provider in the United States. Is also a Co-Founder of Tempest, an online alcohol addiction treatment program.
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