Accounts Receivable Escalation Specialist

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

📋 Description

• Analyze collections, resolve non-payable issues, and manage complex billing inquiries.

• Follow up on claim denials and rejections to ensure proper reimbursement.

• Timely process assigned accounts receivable work lists.

• Write and manage appeals for claim denials.

• Identify and address denied, unpaid, and non-adjudicated claims and billing discrepancies.

• Recommend accounts for write-off via Adjustment Requests.

• Report changes in address and filing rules to the manager.

• Check systems for any missing payments.

• Accurately notate patient accounts.

• Review correspondence to identify specific issues.

• Research patient accounts and determine the appropriate follow-up steps.

• Scan correspondence and index it to the corresponding account.

• Conduct inbound and outbound follow-up calls as necessary.

• Communicate with insurance companies regarding outstanding claims.

• Achieve established production and quality standards.

• Undertake special projects and other assigned tasks.

⛳️ Requirements

• High School Diploma or GED required.

• A minimum of one (1) year in data entry and one (1) year in medical billing and claims resolution preferred.

• AAHAM and/or HFMA certification is preferred.

• Experience with offshore engagement and collaboration is desirable.

• Intermediate understanding of medical billing regulations, including coordination of benefits, modifiers, Medicare, and Medicaid, as well as familiarity with EOBs.

• Ability to become proficient in billing software within 5 weeks and maintain that proficiency.

• Capability to read, comprehend, and apply state and federal laws, regulations, and policies.

• Skill in communicating with diverse personalities in a tactful, mature, and professional manner.

• Ability to adapt and work effectively in a collaborative, fast-paced environment.

• Basic proficiency in using a computer, telephone, internet, copier, fax, and scanner.

• Basic touch 10-key skills.

• Fundamental math skills.

• Understand and adhere to company policies and procedures.

• Strong oral, written, and interpersonal communication abilities.

• Excellent time management and organizational skills.

• Proficient in Outlook, Word, Excel (including pivot tables), and database software.

🏝️ Benefits

• Ventra performance-based incentive plan.

• Referral bonus.

• Discretionary incentive bonus in accordance with company policies.

• Reasonable accommodations for qualified individuals with disabilities, as needed.