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Accounts Receivable Specialist (REMOTE)
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Job Description
- Req#: 10192
Employer Industry: Healthcare Revenue Cycle Management
Why consider this job opportunity:
- Opportunity for career advancement within the organization
- Supportive and collaborative work environment
- Chance to work with a dedicated team focused on resolving insurance claims and improving patient care
- Engage with various departments to enhance overall operational efficiency
- Contribute to the mission of ensuring compliance with healthcare regulations and policies
What to Expect (Job Responsibilities):
- Contact insurance carriers daily to follow up on outstanding medical claims regarding denials or benefit changes
- Maintain an accurate and up-to-date aging of assigned accounts, including accounts receivable analysis and follow-up
- Create and follow up on appeals to protest denials or incorrect payments
- Review complex denials and resolve issues, including refund requests and disputes
- Work collaboratively with all Revenue Cycle Management departments to resolve claims payment issues
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
- 1 year of experience effectively communicating with insurance payers and internal company communications
- 3 years of experience working with medical terminology, ICD10, CPT, HCPCs coding, and HIPAA requirements
- 3 years of experience working with commercial, government, and state insurance payers and their reimbursement policies and procedures
How to Stand Out (Preferred Qualifications):
- 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite, as well as medical practice management software and electronic medical records
- 3 years of experience working complex insurance issues, including assigning correct payer, EOB adjustments, and refunds to accounts
#Healthcare #RevenueCycleManagement #InsuranceClaims #CareerOpportunity #HealthcareCompliance
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