Accounts Receivable Specialist - Remote

Full Time
Remote
Posted Today
Job description
Overview: Job Summary:
  • Onsite training for up to 4-weeks in office.
  • Accounts Receivable (“AR”) Specialists are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Representatives are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards.
Responsibilities: Essential Functions and Tasks:
  • Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients
  • Process assigned AR work lists provided by the manager in a timely manner
  • Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution
  • Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations
  • Recommend accounts to be written off on Adjustment Request
  • Reports address and/or filing rule changes to the manager
  • Check system for missing payments
  • Properly notates patient accounts
  • Review each piece of correspondence to determine specific problems
  • Research patient accounts
  • Reviews accounts and to determine appropriate follow-up actions (adjustments, letters, phone insurance, etc.)
  • Processes and follows up on appeals. Files appeals on claim denials
  • Scan correspondence and index to the proper account
  • Inbound/outbound calls may be required for follow up on accounts
  • Route client calls to the appropriate RCM
  • Respond to insurance company claim inquiries
  • Communicates with insurance companies for status on outstanding claims
  • Meet established production and quality standards as set by Ventra Health
  • Performs special projects and other duties as assigned
Qualifications: Education and Experience Requirements:
  • High School Diploma or GED
  • At least one (1) year in data entry field and one (1) year in medical billing and claims resolution preferred
  • AAHAM and/or HFMA certification preferred
  • Experience with offshore engagement and collaboration desired
Knowledge, Skills, and Abilities (KSAs):
  • Intermediate level knowledge of medical billing rules, such as coordination of benefits, modifiers, Medicare, and Medicaid and understanding of EOBs
  • Become proficient in use of billing software within 4 weeks and maintain proficiency
  • Ability to read, understand, and apply state/federal laws, regulations, and policies
  • Ability to communicate with diverse personalities in a tactful, mature, and professional manner
  • Ability to remain flexible and work within a collaborative and fast paced environment
  • Basic use of computer, telephone, internet, copier, fax, and scanner
  • Basic touch 10 key skills
  • Basic Math skills
  • Understand and comply with company policies and procedures
  • Strong oral, written, and interpersonal communication skills
  • Strong time management and organizational skills
  • Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills

Intrested in this job?

Related Jobs

All Related Listed jobs

Davidson Hospitality Group Atlanta, GA 30346 Today

Corporate Accountant- Hotels- Davidson Hospitality Group REMOTE- you can live anywhere in the USA! Bonus Eligible Amazing career progression opportunities! Hotel

Community Services Group, Inc. Lancaster, PA 17601 Today

Join Community Services Group (CSG), a Certified B Corporation, as a Program Supervisor for our Adult Intellectual & Developmental Disabilities (IDD) Community Home Services in Lancaster County,

Nebraska State College System Wayne, NE 68787 Today

Nature of Work This is an advanced classification that performs specialized clerical work of an administrative nature of varied scope and complexity

Solstice Restaurant Irvine, CA 92612 $18 - $19 an hour 17 days ago

Previous experience in a high-volume, full service restaurant kitchen. Solstice is Modern American restaurant based on the philosophy of fresh, craveable food

MTech Mechanical Westminster, CO 80234 $35 - $40 an hour 24 days ago

Position Title: Client Site Manager - Shea FLSA Status: Non-Exempt. Reports to: Service Operations Manager Location: Westminster, CO.

The Alloy- a Doubletree Hotel King of Prussia, PA 19406 Today

The beautifully renovated Alloy a DoubleTree by Hilton hotel in King of Prussia is seeking a passionate and seasoned Director of Restaurant Outlets. Responsibilities: Provide guests and patrons

Carondelet Holy Cross Hospital Nogales, AZ 85621 30+ days ago

RN New Grad Full TIme position available for Days, Nights, Evenings, and Rotating shifts. RN New Grad Full Time Position Summary.

Inova Health System United States Today

Inova Health's Behavioral Health Services is looking for a Psychiatric Mental Health Nurse Practitioner or Family Nurse Practitioner to support our growing programs in the Northern Virginia community

Seattle Housing Authority Seattle, WA Today

Job SummaryLaborer - We offer competitive salary, great benefits, and work that matters to our community.The Organization: The mission of the Seattle Housing Authority (SHA) is to enhance the

Yankee Candle Company Columbus, OH 43240 27 days ago

As a Retail Store Sales Associate, under the direct supervision of the Guest Sales Leader you will provide exemplary guest service, execute visual merchandising