Remote Medical Accounts Receivable

Description

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.