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, eliminate payment barriers, and expedite cash collection processes.

• Pursue and recover assigned accounts employing various strategies and tools to address claims and secure payment.

• Refer unpaid claims to payer claims supervisors when standard follow-up efforts prove unsuccessful.

• Record client host system information utilizing the 5 W’s framework alongside relevant policies and procedures.

• Transfer account notes into Amplify’s workflow management tool.

• Assign status codes in Amplify to track and manage trends effectively.

• Draft first- and second-level appeals for claim denials to ensure payment is obtained.

• 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 related to assigned accounts.

⛳️ Requirements

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

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

• Intermediate proficiency in Excel is preferred.

• Understanding of the complete revenue cycle is essential.

• Must be detail-oriented and organized.

• Capability to apply critical thinking skills effectively.

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

• High school diploma or equivalent is required.

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

• Competence to work independently from home in a dynamic, goal-driven environment.

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

• Daily communication 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 both healthcare and dependent care.

• Wellness platform offering premium incentives.

• Employee assistance support services.

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

• Flexible paid time off options.

• Company-paid holidays.

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

• Opportunities for professional development.

• Equipment provided by the company.