Accounts Receivable Claims Specialist

This is a fully remote position, open to applicants in Maryland.

📋 Description

• Collaborate with payors to address both partial and complete payment denials

• Remain informed about payer policies and coverage guidelines

• Detect payment denials through the work queue and take necessary actions

• Engage in professional communication with providers when needed to resolve denied claims

• Resubmit amended claims in accordance with payor policies or provider instructions

• Appeal claim denials with the required information to ensure proper adjudication

• Keep updated on the correct appeal processes for designated payors

⛳️ Requirements

• High school diploma or its equivalent

• At least 2-3 years of experience in medical billing

• Proficiency with practice management systems and EHR platforms

• Familiarity with medical terminology as well as CPT and ICD-10 codes

• Extensive knowledge of commercial, Medicare, Medicaid, and Tricare medical insurance plans

• Understanding of basic medical coding and procedures related to third-party operations

• Proficient in Microsoft applications, including Word and Excel

• Outstanding communication and customer service abilities

• Strong written and verbal communication skills, with the confidence to engage with patients

• Exceptional organizational skills to handle multiple tasks throughout the day

• Ability to manage a multi-line telephone system

• Capability to function as a team player within a cohesive medical practice

• Effective communication with co-workers

• Ability to communicate both orally and in writing with internal and external business professionals

• Must be dependable, reliable, and capable of executing job responsibilities

🏝️ Benefits

• Comprehensive rewards package that supports employees’ life, career, and retirement