CommUnityCare Health Centers
Accounts Receivable Specialist (REMOTE)
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Job Description
- Req#: 10192
Employer Industry: Revenue Cycle Management
Why consider this job opportunity:
- Competitive salary with potential for bonuses
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on insurance claim resolutions
- Engage in meaningful work aligned with the organization's mission and values
What to Expect (Job Responsibilities):
- Contact insurance carriers daily to follow up on and collect past due amounts on outstanding medical claims
- Maintain an accurate and up-to-date aging report of assigned accounts, including accounts receivable analysis and follow-up
- Create and follow up on appeals needed to contest denials or incorrect payments
- Work across all Revenue Cycle Management departments to resolve issues related to claims payment
- Uphold compliance with company policies and procedures while maintaining attention to detail
What is Required (Qualifications):
- High School Diploma or GED
- Minimum of 3 years of experience managing Accounts Receivable and performing direct follow-up with payers
- 3 years of experience working with medical terminology, ICD10, CPT, HCPCs coding, and HIPAA requirements
- 2 years of experience with data processing and analytical skills, including proficiency in Excel and Microsoft Office Suite
- 3 years of experience working with commercial, government, and state insurance payers and their reimbursement policies
How to Stand Out (Preferred Qualifications):
- 1 year of experience communicating effectively, both orally and in writing, with insurance payers and internal company communications
- 3 years of experience working on complex insurance issues, including assigning correct payers, EOB adjustments, and refunds to accounts
#RevenueCycleManagement #HealthcareClaims #CustomerService #CareerOpportunity #InsurancePayers
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