Accounts Receivable Specialist

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

📋 Description

• Conducting analysis of collections, addressing non-payables, and managing inquiries related to bills for intricate issues.

• Following up on claim rejections and denials.

• Timely processing of assigned accounts receivable work lists as directed by the manager.

• Drafting appeals to resolve claim denials aiming for a single-contact resolution.

• Identifying and addressing denied, non-paid, and/or non-adjudicated claims.

• Suggesting accounts for write-off in Adjustment Requests.

• Verifying the system for any missing payments.

• Accurately documenting patient accounts.

• Reviewing correspondence to identify specific issues.

• Investigating patient accounts to determine suitable follow-up actions.

• Processing and tracking appeals.

• Addressing insurance company inquiries regarding claims.

• Communicating with insurance providers about the status of outstanding claims.

• Achieving established production and quality benchmarks.

• Undertaking special projects and other assigned responsibilities.

⛳️ Requirements

• High School Diploma or GED equivalent.

• Minimum of one (1) year experience in data entry.

• Preferred one (1) year experience in medical billing and claims resolution.

• AAHAM and/or HFMA certification is preferred.

• Desired experience with offshore engagement and collaboration.

• Intermediate understanding of medical billing regulations, including coordination of benefits, modifiers, Medicare, and Medicaid, along with familiarity with Explanation of Benefits (EOBs).

• Proficient in using billing software within a span of 5 weeks.

🏝️ Benefits

• Ventra performance-based incentive program.

• Referral bonus program.