Remote Medical Accounts Receivable

Description:
? The Accounts Receivable Specialist will have strong attention to detail and analytical skills.
? 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.

Benefits:

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