Accounts Receivable Specialist

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

📋 Description

• Engage with insurance payers to follow up on pending claims.

• Identify and eliminate barriers to payment while expediting cash collections.

• Manage follow-up and collection efforts on accounts within the assigned inventory.

• Employ follow-up strategies and tools to resolve claims and secure payment.

• Elevate unpaid claims to payer claims supervisors when warranted.

• Record client host systems using the 5 W’s framework along with relevant policies and procedures.

• Transfer account notes into Amplify’s workflow tool.

• Assign status codes in Amplify to pinpoint and address trends.

• Draft first- and second-level appeals for denied claims.

• Report payer denial trends and other issues to Management.

• Handle assigned underpayments as directed by Management.

• Uphold daily productivity and quality standards.

• Investigate and analyze correspondence associated with assigned accounts.

⛳️ Requirements

• Must be adaptable and demonstrate the capability to work independently from home in a dynamic, goal-focused environment.

• Experience in direct account follow-up and/or billing is required.

• Preferred knowledge of Medical Terminology, ICD-10, CPT, and DRG.

• Familiarity with third-party collections is preferred.

• Intermediate proficiency in Excel is preferred.

• Ability to provide information regarding patient accounts while ensuring confidentiality.

• Comprehensive understanding of the entire revenue cycle is essential.

• Detail-oriented and well-organized.

• Capability to apply critical thinking skills effectively.

• Ability to assist with problem-solving, inquiries, and customer interactions.

• High school diploma or its equivalent is required.

• 3-5 years of collections experience in a Hospital Business Office is necessary.

• Must have a stable internet connection, a quiet and dedicated workspace, and the required office equipment.

• Capacity to communicate daily with team members, management, and clients via email, phone, video meetings, and collaborative tools.

🏝️ Benefits

• Comprehensive health and wellness benefits, including medical, dental, vision, life insurance, and both short and long-term disability coverage.

• Health Savings Account (HSA) with employer contributions.

• Flexible spending accounts for healthcare and dependent care.

• Access to a wellness platform with premium incentives.

• Employee assistance support.

• Voluntary supplemental plans encompassing accident, critical illness, hospital indemnity, and child disability insurance.

• Robust and flexible paid time off options.

• Company-paid holidays.

• 401(k) plan with discretionary employer matching opportunities.

• Opportunities for professional development.

• Company-issued equipment.