Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.

Experity offers the following:

Benefits – Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision. Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful! Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more. Flexibility – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones. Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals. Team Building – We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party. Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Hybrid: Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed.

Job Type: Full time

Compensation: Starting between $20 - $22 hourly! 

Responsibilities: 

Effectively manage the accounts receivable (AR) related to provider contracting and credentialing for assigned clients, including reviewing electronic claim rejections, claim denials, and claim processing issues

Serve as the first line of review, research, and documentation of providers being added to the system to ensure compliant billing

Maintain system configuration and continuous review to ensure billing continues to follow compliant guidelines

Responsible for being the liaison between Revenue Cycle Management (RCM) and the Compliance Manager regarding contracting and credentialing to ensure compliant billing is followed

Effectively research, identify trends, determine root cause, and document findings relating to provider contracting and credentialing issues and communicate effectively with the Accounts Receivable (AR) Supervisor, Client Success Managers (CSM), and/or Client to achieve resolution

Prioritize workflow as required to ensure accounts receivable (AR) issues are reviewed and acted on in a timely fashion

Submit corrected insurance claims and/or appeals, as necessary, with appropriate documentation based on payer guidelines

Assist internal and external parties with questions related to contracting and credentialing (AR)

Communicate daily with internal and external customers via phone calls and written communication

Contribute to team effort by accomplishing related results as needed

Maintain patient confidence by following HIPPA guidelines

Comply with applicable laws regarding medical billing standards

Maintain work operations by following policies and procedures

Meet productivity and accuracy standards

Other duties as assigned

 

Education and Experience: 

High School diploma or equivalent 

Minimum of one year of related experience in a business, medical or technical environment 

Understanding of medical terminology and insurance laws/guidelines 

Understanding of relevant credentialing terms 

Proficient in Windows based applications and MS office  

 

Every team member exhibits our core values:

Team First Lift Others Up Share Openly Set and Crush Goals Delight the Client