Accounts Receivable Specialist

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

📋 Description

• Engage with insurance payers regarding outstanding claims, identifying barriers to payment, and enhancing cash collection efforts.

• Manage follow-ups and collections on accounts within your designated inventory, utilizing experience, strategies, and tools.

• Refer unpaid claims to payer claims supervisors when standard follow-up measures fail.

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

• Transfer account notes into Amplify’s workflow tool.

• Allocate appropriate status codes in Amplify to pinpoint and address trends.

• Draft first- and second-level appeals for denied claims to reverse denials and ensure payment.

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

• Handle assigned underpayments as directed by Management.

• Uphold daily productivity and quality standards.

• Investigate and evaluate correspondence connected to assigned accounts.

⛳️ Requirements

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

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

• Knowledge of Medical Terminology, ICD-10, CPT, and DRG codes.

• Intermediate proficiency in Excel is preferred.

• Responsible for providing information regarding patient accounts while maintaining confidentiality.

• Must have a solid understanding of the complete revenue cycle.

• Attention to detail, organizational skills, and the ability to apply critical thinking are required.

• Assist with problem-solving, inquiries, and customer interactions to achieve positive outcomes.

• High school diploma or equivalent is required.

• Additional training in hospital insurance collections is a plus.

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

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

• Ability to communicate daily with team members, management, and clients through email, phone, 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 healthcare and dependent care.

• Wellness platform offering premium incentives.

• Employee assistance support available.

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

• Generous and flexible paid time off policies.

• Company-paid holidays.

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

• Opportunities for professional development.

• Company-issued equipment provided.