Accounts Receivable Specialist

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

📋 Description

• The Accounts Receivable Specialist is tasked with directly following up with commercial, governmental, and other payers to address claim payment issues, ensuring prompt and appropriate reimbursement and responses.

• This role involves identifying and analyzing claims denials, payment variances, and claims with no responses, taking action to resolve these issues, including drafting and submitting both technical and clinical appeals.

• The specialist provides support for all activities related to denials, no responses, and audits.

• They review denied and other unpaid claims to ascertain the reasons behind discrepancies.

• Direct communication with payers is essential to follow up on outstanding claims, file technical and clinical appeals, resolve payment variances, and guarantee timely and accurate reimbursement.

• The ability to pinpoint specific reasons for underpayments, denials, and delays in payment is critical.

• Collaborating with management to identify, analyze trends, and address root causes of issues within the Accounts Receivable process is a key responsibility.

• The specialist maintains a comprehensive understanding of federal and state regulations, as well as payer-specific requirements, and acts accordingly.

• Accurate documentation of all activities, including contact names, addresses, phone numbers, and other relevant information in the client’s host system and/or the appropriate tracking system is required.

• They are expected to demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management.

⛳️ Requirements

• A minimum of 1 year of relevant experience in medical collections, physician/hospital operations, AR follow-up, denials & appeals, compliance, provider relations, or professional billing is preferred.

• Basic computer knowledge is essential, along with proficiency in Microsoft Excel.

• Strong verbal communication skills are necessary.

• Problem-solving abilities are required, with the capacity to assess accounts and develop a collection action plan.

• Critical thinking skills are essential, enabling the comprehension of tools used for securing payment and applying them effectively to various accounts for successful payment outcomes.

• Adaptability to changing procedures and a dynamic environment is important.

• The ability to meet quality and productivity standards within the timelines established in policies is expected.

• Adherence to required attendance policies is mandatory.

• An inquisitive nature and openness to innovation, including the use of AI, to explore improved processes and enhance patient and client experiences is a must.

🏝️ Benefits

• Bonus Incentives

• Paid Certifications

• Tuition Reimbursement

• Comprehensive Benefits

• Career Advancement