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Specialist, Accounts Receivable
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Job Description
- Req#: R1863
Employer Industry: Healthcare Revenue Cycle Management
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely with a flexible schedule
- Collaborative and supportive work environment
- Engaging role that allows you to make a significant impact on cash collections and payment resolution
- Opportunity to develop expertise in medical terminology and third-party payer guidelines
What to Expect (Job Responsibilities):
- Follow up and collect on accounts in assigned inventory, utilizing effective strategies to resolve claims and obtain payment
- Escalate unpaid claims to the payer claims supervisor when regular follow-up efforts fail
- Document client interactions accurately using the 5 W's framework and relevant policies/procedures
- Write first and second-level appeals for denials to secure payment and escalate persistent issues to management
- Research and analyze correspondence related to assigned accounts to ensure timely resolution
What is Required (Qualifications):
- Must be available and punctual for scheduled work shifts
- Minimum educational requirement: High School Diploma or equivalent
- 3-5 years of collections experience in a Hospital Business Office
- Direct account follow-up and/or billing experience
- Strong organizational skills and attention to detail, with the ability to apply critical thinking
How to Stand Out (Preferred Qualifications):
- Additional training in hospital insurance collections is a plus
- Knowledge of medical terminology, ICD-10, CPT, and DRG preferred
- Intermediate experience in Excel preferred
- Understanding of third-party insurance payer guidelines
#HealthcareRevenueCycle #RemoteWork #CareerGrowth #CollectionsExperience #HealthcareIndustry
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