Accounts Receivable Specialist

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

📋 Description

• Engage with insurance payers to follow up on outstanding claims

• Identify and address barriers to payment to expedite cash collections

• Conduct follow-ups and collect on accounts within the designated inventory

• Utilize follow-up strategies and tools to resolve claims and secure payments

• When necessary, escalate unpaid claims to payer claims supervisors

• Record client host-system activities using the 5 W’s framework along with applicable policies and procedures

• Transfer account notes into Amplify’s workflow tool

• Assign status codes in Amplify to highlight and tackle trends

• Draft first- and second-level appeals for denials to ensure payment is received

• Bring payer denial trends and other issues to the attention of management

• Manage assigned underpayments as directed by management

• Uphold daily productivity and quality standards

• Investigate and analyze correspondence related to assigned accounts

⛳️ Requirements

• Must be adaptable and demonstrate the capacity to work independently from home in a fast-paced, dynamic, and goal-driven environment

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

• Familiarity with medical terminology, ICD-10, CPT, and DRG

• Intermediate proficiency in Excel is preferred

• Ability to protect confidential patient account information

• Understanding of the entire revenue cycle is essential

• Detail-oriented and organized, possessing strong critical thinking skills

• Capable of assisting with problem-solving, inquiries, and customer interactions

• High school diploma or equivalent is required

• 3-5 years of collections experience within a Hospital Business Office

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

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

🏝️ Benefits

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

• Health Savings Account (HSA) with employer contributions

• Flexible spending accounts for health and dependent care expenses

• Wellness platform with premium incentives

• Employee assistance support services

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

• Robust and flexible paid time off offerings

• Company-paid holidays

• 401(k) plan with discretionary employer matching opportunities

• Opportunities for professional development

• Company-issued equipment