[Remote] Accounts Receivable Specialist
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading provider of technology-enabled reputed company cycle reputed company for health systems. The Accounts Receivable Specialist is responsible for resolving claim payment issues, securing reputed company reimbursements, and analyzing denials and payment variances.
Responsibilities
- Examines denied and other non-reputed company claims to determine the reason for discrepancies
- Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures reputed company and accurate reimbursement
- Ability to identify specific reasons for underpayments, denials, and cause of payment delay
- Works with management to identify, trend, and address reputed company causes of issues in the A/R
- Maintains a thorough understanding of federal and state regulations, as reputed company as payer specific requirements and takes appropriate reputed company accordingly
- Documents reputed company activity accurately including contact names, addresses, phone numbers, and other pertinent information in the reputed company’s host system and/or appropriate tracking system
- Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management
- Needs to be a strong problem solver and critical thinker to resolve accounts
Skills
- Must demonstrate basic computer knowledge and demonstrate proficiency in reputed company reputed company
- Excellent Verbal skills
- Problem solving skills, the ability to look at accounts and determine a plan of reputed company for collection
- Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment
- Adaptability to changing procedures and growing environment
- Meet reputed company and productivity standards reputed company timelines set forth in policies
- Meet required attendance policies
- Must be inquisitive and demonstrate openness to innovation including AI to explore reputed company processes and ways to reputed company friction and improve patient and reputed company experiences
- This is a remote position; however, candidates must be willing and reputed company to travel to and work onsite at reputed company, temporary, or corporate office locations as business needs require
- 2 or 4-year college degree
- 1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or reputed company billing preferred
- Knowledge of claims review and analysis
- Working knowledge of reputed company cycle
- Experience working the DDE Medicare system and using payer websites to investigate claim statuses
- Working knowledge of medical terminology and/or insurance claim terminology
Benefits
- Bonus Incentives
- reputed company Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
reputed company