RCO Analyst II, Production

Remote - United States

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AKASA Inc.
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About AKASA
We're on a mission to remedy the financial complexity crippling healthcare in America. 
Our aim is to organize and use all healthcare information to reduce the cost of care and improve the patient experience. 
As the only Unified Automation™ company for healthcare, we use the same machine learning approaches that made driverless cars possible to provide health systems with a single solution for core operational management. AKASA's unique expert-in-the-loop approach, Unified Automation, combines modern machine learning with human judgment and subject matter expertise to provide resilient automation. AKASA brings together the best of people, data and technology to efficiently, accurately and autonomously navigate the complex state of medical reimbursement in the United States. 
We are growing rapidly and we've built a cross-functional skill set deep into the DNA of the company. We have technology experts from top Silicon Valley technology companies (Google, Facebook, etc) and machine learning PhD programs (Stanford, etc). We also have senior leaders from the frontlines of healthcare with decades of experience leading teams at prominent healthcare institutions in the US. And we have a deep bench of talent from healthcare services firms like the Advisory Board, Optum and Triage Consulting. 
If you love to execute, we'd love to hear from you. We take a very mindful approach to building a culture that is flexible, diverse and inclusive. We approach our work thoughtfully, learn quickly, improve constantly, and celebrate our wins. Everyone is welcome — as an inclusive workplace, our employees are comfortable bringing their authentic whole selves to work. Be you.

What You'll Do

  • Draw upon past experience in billing, coding, and follow-up to advance patient accounts on behalf of our hospital clients
  • Utilize data labeling of payer portals, EHR data, and payer responses to train our AI model

Skills & Qualifications

  • At least 3 year experience with Epic, Cerner, or other EHR
  • Healthcare setting (hospital or clinic) Patient Access Business Office experience is a plus
  • Medical coding certification is a plus
  • Must be proficient in Microsoft Office (Word, Excel) and/or equivalent (Google Docs, Sheets)
  • Familiarity with some or all of the following tasks:
  • Obtaining pre-authorizations as required for medical services
  • Checking eligibility and benefits for a given patient
  • Preparing or reviewing medical claims (1500 forms/UB-04s) for completeness and accuracy
  • Transmitting medical claims (1500 forms/UB-04s) for electronic or paper processing
  • Auditing insurance payments for accuracy based off contractual discounts
  • Following up with insurance companies on unpaid/underpaid claims (rebills, appeals)
  • Identifying and billing secondary/tertiary insurance entities if necessary
  •  Reviewing accounts for applicable patient follow-up
  • Is a self-motivated team player with excellent communication and problem solving skills
  • Proven ability to successfully and effectively manage goals and deadlines
  • Can successfully work independently in a remote/virtual work environment

What We Offer

  • Work with an experienced and complementary founding team consisting of serial entrepreneurs, AI experts and healthcare industry leaders
  • Meaningfully own or contribute to category-defining products that fundamentally change healthcare operations
  • Great compensation package and equity grants
  • Generous coverage for health, dental and vision insurance
  • Full employer coverage for life insurance
  • 401k Plan
  • Free membership to One Medical (Concierge Clinic) for you and your family (if you are in a region covered by One Medical)
  • Flexible schedules and personal time off (PTO)
  • Paid company holidays and bonus “Wellness Days”
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.
Job region(s): North America
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