Remote Medical Accounts Receivable

The Accounts Receivable Specialist will have strong attention to detail and analytical skills. The successful candidate will have a strong working knowledge of revenue cycle management and have a proven track record working in a healthcare practice environment in accounts receivable.

Responsibilities: • Ensure that patients and insurance companies are properly billed for all services, and that payments are received and processed in a timely manner. • Analyze excel spreadsheets and raw data. • Denial management process • Telephone insurance carrier/patient to seek resolution on accounts. • Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts. • Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account's ability to pay after initial rejection from the payer. • Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims. • Identify trends in payer non-compliance and inform management if not able to resolve with payer. • Negotiate within specified guidelines with payers. • Ensure secondary carrier is appropriately billed or self-pay portion is pursued. • Follow up with appropriate staff to locate missing information. • Ensure accurate and timely billing of all outstanding account balances to the appropriate third-party payers and patient guarantors. • Maintain necessary logs • Participate in departmental meetings as necessary.

Requirements
• 1-3 years of accounts receivable experience working in a medical practice/healthcare field.
• 1 year experience leading a team.
• 1 year experience with denial management
• Excellent attention to detail, customer service skills, and confidentiality
• Proficiency in Microsoft Applications
• Excellent written and verbal skills
• Ability to develop/implement team ideas and projects both independently and with others
• Ability to work in a fast-paced environment.
• Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making.

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