Accounts Receivable Lead

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

📋 Description

• Execute job responsibilities and tasks in accordance with company standards as well as state and federal regulations.

• Analyze problems and deliver comprehensive solutions for intricate accounts and escalations.

• Make phone calls to patients, hospitals, insurance companies, facilities, or attorneys as necessary to investigate claims or gather additional insurance information.

• Reach out to insurance carriers to check the status of overdue accounts.

• Achieve or surpass established productivity and quality benchmarks.

• Record details of account activities in the claims processing system.

• Maintain workflow to minimize aging accounts by consistently following up on unpaid claims.

• Recognize opportunities for process improvement and formulate standard operating procedures (SOPs).

• Complete designated special projects from the Manager, providing regular updates and reports.

• Conduct quality checks on assigned claims.

• Perform monthly reviews and process write-offs for allocated accounts.

• Ensure strict compliance with all relevant laws and regulations, including HIPAA.

• Investigate and resolve escalations from team members, payers, and other stakeholders, as directed by the Manager.

• Ensure consistent adherence to company attendance policies.

• Additional duties as assigned.

⛳️ Requirements

• Education: High School Diploma or equivalent required; Associate's Degree preferred.

• A minimum of 3–5 years of experience in healthcare claims processing, billing, or accounts receivable.

• Must obtain ambulance biller certification within 6 months of employment.

• Hands-on experience in preparing and submitting insurance appeals, including knowledge of payer denial codes and timely filing limits.

• Familiarity with ICD-10, HCPCS, and general medical terminology.

• EMS billing experience is strongly preferred; experience in other medical specialties will also be considered.

• Proficient with various web platforms, including billing software and payer portals.

• Previous customer service experience with the ability to collaborate with other departments or team members.

• Excellent computer skills, particularly in Microsoft Word, Excel, and Outlook.

• Strong verbal and written communication abilities.

• Exceptional interpersonal, organizational, and time management skills.

• Strong problem-solving skills and investigative capabilities.

• Ability to thrive in a fast-paced, adaptive environment with minimal supervision.

• Knowledge of collections or medical billing, with a foundational understanding of ICD-10, HCPCS, and medical terminology preferred.

• Effective critical thinking and analytical skills.

• Strong customer service skills and experience.

• Capability to independently manage all aspects of the job role, including required goals and business practices in a remote setting.

🏝️ Benefits

• Competitive salary, commensurate with experience.

• Comprehensive benefits package.

• 401(k) Plan.