Revenue Cycle Accounts Receivable Associate
Fully Remote Remote Worker - N/A
Job Type

Accounts Receivable Representative

Who We Are:At Koha Health, we’re focused on our customers, both internal and external. Our most valuable elements that make up our business are the amazing people in our teams. At the core, we value Integrity, Commitment, and Innovation, and we believe these values support our mission to exceed our customers’ expectations by delivering industry revenue performance. Our vision, simply stated, is to better everyday life for our people, our customers, and our communities, and we do this all while having a little fun!
Company OverviewKoha Health is a fast-growing Revenue Cycle Management (RCM) company that leverages automation and technology to provide industry-leading billing services to healthcare provider organizations. Our systems use smart technology to automate workflow, improve charge capture, manage code compliance, and provide custom rules for intelligent claims review. By leveraging the best RCM technology, we can integrate our RCM solutions into our clients’ ecosystems. 
Not only do we strive to provide the highest level of personalized service, but we understand the importance of relationships. These relationships translate into the work we do, the people we meet, and the communities we serve. Each day we innovate, collaborate, and solve problems for our clients, improving the way physician practices and health systems operate today. We strive to empower our people through career development, service opportunities, and a supportive community so they can reach their fullest potential. Here at Koha Health, our people come first.
Position SummaryThe Accounts Receivable Specialist plays an essential and central role in the Koha Health RCM ecosystem. You will work closely with our AR team and innovate and collaborate with your operational colleagues. You are detail-oriented and have a passion to resolve any problems that impact our clients’ ability to collect on insurance claims in a timely and accurate manner while adhering to local, state and federal compliance guidelines. An appreciation for data and reporting will empower you to identify issues such as denial trends and work to eliminate them. 
Responsibilities include but are not limited to:· Responsible for the financial health of the client’s revenue cycle· Monitor insurance claims by running appropriate reports, and efficiently contact insurance companies to resolve claims that are not paid in a timely manner· Identify coding or billing problems from EOBs/EFTs & work to correct errors in a timely manner· Identify and analyze denial trending· Ability to think critically to eliminate denials prior to claim submission & improve processes· Work clearinghouse rejections· Identify problem accounts and escalate as appropriate· Update the patient account record to identify actions taken on the account· Work with clients and colleagues to obtain necessary information to get claims processed· Write appeals and include supporting documentation· Respond to and process insurance refunds· Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information


· Two (2) to three (3) years of Revenue Cycle experience

· Healthcare billing experience preferred, primarily in the area of accounts receivable

· Experience collaborating with cross-functional teams through high-priority and time sensitive issues 

· Demonstrated ability to communicate with a wide range of internal and client stakeholders through clear, informed and relevant communications (verbal and written)

· Zeal for exceeding client expectations by delivering exceptional service

· Exceptional troubleshooting and problem-solving skills, including a proven history of rapidly learning complex processes and technologies 

· Ability to work in a fast-paced environment while prioritizing and managing multiple responsibilities

· Experience analyzing and leveraging data to drive decisions

· Enthusiasm, idealism, creativity, dedication and a little bit of attitude

 Koha Health Core Skills & Traits

· Integrity: Does not cut corners 

· Coachability: often solicits feedback and reacts calmly to criticism. Ability to listen and learn from others and receive and give feedback in a candid and professional manner 

· Persistence: demonstrates tenacity and willingness to go the extra mile to get something done 

· Proactive: ability to work alone and without being told what to do. Also brings new ideas to company 

· Adaptability: Adjust quickly to changing priorities and conditions 

· Enthusiasm: Exhibits passion and excitement over work 

· Work Ethic: Strong willingness to work hard and sometimes long hours to get the job done 

· Teamwork: Reaches out to peers and leaders when needed and promotes a collaborative working environment 

· Client satisfaction mentality: always thinking about how their work effect our clients and looks for ways to improve client satisfaction 

Our Commitment to Diversity and Inclusion 

A culture of innovation, diversity and inclusion is the  Koha Health way. Equality drives our spirit and fuels our creativity. We celebrate, value, and appreciate all voices and are continually building a culture where everyone has the freedom to be their authentic self. Our commitment to inclusion across race, color, religion, gender identity, sexual orientation, disability, age, veteran status, and experience drives our success and makes our company stronger.