Accounts Receivable Specialist

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

📋 Description

• Follow up on and collect assigned accounts.

• Leverage your experience, follow-up strategies, and tools to resolve claims and secure payment.

• Escalate unpaid claims to payer claims supervisors when standard follow-up efforts do not yield results.

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

• Transfer account notes into Amplify’s workflow tool.

• Assign appropriate status codes in Amplify to identify and manage trends.

• Draft first- and second-level appeals for denials to overturn decisions and ensure payment.

• Report payer denial trends and other issues to Management.

• Manage assigned underpayments as directed by Management.

• Adhere to daily productivity and quality expectations.

• Research and analyze correspondence related to assigned accounts.

⛳️ Requirements

• Must be able to adapt and demonstrate the capability to work independently from home in a fast-paced, dynamic, and goal-oriented environment.

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

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

• Intermediate proficiency in Excel is preferred.

• Must provide information regarding patient accounts while ensuring the confidentiality of sensitive information.

• Demonstrates a comprehensive understanding of the entire revenue cycle.

• Must be detail-oriented, organized, and possess strong critical thinking skills.

• 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 advantageous.

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

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

• Ability to communicate daily with team members, management, and clients through email, phone calls, 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 available for health care and dependent care.

• Wellness platform offering premium incentives.

• Employee assistance support.

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

• Generous and flexible paid time off offerings.

• Company-paid holidays.

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

• Opportunities for professional development.

• Company-issued equipment.