Career Opportunities at NSN Revenue Resources




Start-up, growing, entrepreneurial spirited medical revenue cycle management provider. Our team members are dedicated, brilliant, passionate, and results-oriented, with the commitment to ensuring that all our clients receive only the best service.

If you need a career where there's more enthusiasm than there is corporate red tape, where hard work ignites the atmosphere with excitement and promise, where ideas are encouraged, critical thinking is rewarded, and people like coming to work, then NSN Revenue Resources is a place worth your while to explore.

We're always looking for "smartcle" people, where bright, colorful people excel. If you are looking for a premiere organization where talented, hard-working, smart people sparkle, then we need for you to apply today.


Insurance Verification Specialist - Sioux Falls, SD

The Insurance Verification Specialist is responsible for obtaining patient demographics, verifying eligibility and benefits and obtaining the appropriate authorization for anticipated procedures. The role requires exceptional customer service skills with the ability to communicate effectively, both verbally and in writing, to patients, internal customers and external customers.

Responsibilities

  • Identify and document all patient accounts accurately based on what type of insurance product the patient has, PPO, HMO, other Managed Care Organizations, Medicare Advantage Plans, Government plans or Workman Compensation policies.
  • Completes accurate and timely insurance verifications.
  • Accurately completes all data entry necessary including patient demographics, insurance information and benefit details.
  • Confirms pre-authorization requirements, submits available medical documentation and documents authorization approvals or denials.
  • Notify all patients of any significant gaps in coverage and/or high co-pays or deductibles prior to services being rendered.
  • Manages inbound calls from patients, physicians, practitioners and clinics regarding inquiries about services provided, financial responsibility and insurance coverage.
  • Other duties as assigned.

Requirements

  • At least 2-5 years of medical billing & Insurance verification experience. Orthopedic/Pain management/ Ambulatory Surgery Center billing experience is highly preferred.
  • Proficiency in MS Word and Excel a must
  • Experience with Vision, AdvantX and/ or Zirmed is helpful.
  • Basic level mathematical proficiency, with a strong ability to understand, interpret, calculate and communicate financial responsibility
  • Advanced knowledge of In Network and Out of Network processing.
  • The ability to meet critical deadlines.
  • Sound judgement and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis.
  • Excellent communication skills.
  • Must possess positive attitude to enhance a cooperative and energetic work environment.
  • Excellent knowledge of health care billing procedures, documentation, regulations, payment cycles and standards.

Patient Collections Specialist - Sioux Falls, SD

The Patient Collections Specialist is responsible for communicating with patients who have past due balances. The representative in this position is expected to provide an outstanding customer service experience for patients while providing helpful guidance towards solutions.

Responsibilities

  • Handle a high volume of in and outbound phone calls collecting past due balances from patients.
  • Complies with the Fair Debt Collector Practices Act (FDCPA).
  • Researches any overdue account balances that are fully or partially unpaid and follow up by mail and/or phone to patients on delinquent payments.
  • Coordinates collection activities for delinquent accounts by preparing information for external collection agencies.
  • Respond promptly to patient inquiries with clear communication and high-quality service.
  • Researches customer's accounts thoroughly and documents appropriately.
  • Resolves discrepancies and prepares adjustments and refunds as necessary.
  • Ensures that all information regarding collection activity on accounts are entered accurately into the system.
  • Brings recurring issues to the attention of the department manager.
  • Conduct duties with empathy, support, respect, and professionalism at the core of every interaction.
  • Evaluates and identifies priority accounts.
  • Performs other duties as required.

Requirements

  • Basic level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data.
  • ust have prior patient collections experience for 1 year or more.
  • Excellent customer services skills both verbal and written.
  • The ability to meet critical deadlines.
  • Desire to motivate, inspire positive outcomes and deliver excellent results.
  • Intermediate knowledge of Word, Excel, PowerPoint, Access and Outlook.
  • Sound judgement and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis.
  • Be able to multi-task and handle competing priorities while meeting or exceeding deadlines.
  • Must be proficient in computer skills necessary to perform job duties and must have strong knowledge of computerized billing systems.
  • Must possess positive attitude to enhance a cooperative and energetic work environment.
  • Excellent knowledge of health care billing procedures, documentation, regulations, payment cycles and standards.

Coding Specialist - Remote

NSN is the best, because we employ the best. If you are looking for an opportunity to work in this innovative, fast paced environment, look no further. NSN is looking to hire a Coding Specialist to assist with the organization’s growing needs. The Coding Specialist role will support the Director of Revenue Cycle Integrity in implementing creative and innovative coding solutions for complex cases through completing client audits and managing coding queries.

Responsibilities

  • Communicate effectively with all levels of the organization: Management, Client Sites and Staff.
  • Maintain working knowledge of payer guidelines and assist with resolving coding related denials.
  • Solve any coding discrepancies identified.
  • Plan and deploy external and internal client coding audits.
  • Develop and implement coding education to entire organization.
  • Ensure coding and related special projects are completed timely and accurately.
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
  • Communication of relevant coding related changes/information to client sites and staff.
  • Any and all other duties as assigned.

Requirements

  • 3+ years’ experience coding for ambulatory surgical center with multi-specialty case volumes (MUST include experience in orthopedic) OR experience coding in orthopedic practice, spine coding experience is valued
  • Intermediate level knowledge of Outlook, Excel, Word and PowerPoint.
  • Must be COC, CPC, CASCC, RHIA, or RHIT certified.
  • ASC medical billing experience is helpful (full revenue cycle, charge posting, payment posting, accounts receivable).
  • Must possess independent decision-making ability.
  • Must possess the ability to prioritize job duties.
  • Must be able to handle high stress situations.
  • Must be able to adapt to changes in the workplace.
  • Must be able to organize and complete assigned tasks.
  • Must possess excellent written and verbal communication skills.
  • Must possess the ability to meet critical deadlines.
  • Must possess positive attitude to enhance a cooperative and energetic work environment.