Accounts Receivable Specialist

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

📋 Description

• Follow up with insurance payers regarding outstanding claims.

• Identify barriers to payment and expedite cash collections.

• Manage follow-ups and collections for accounts within the assigned inventory.

• Leverage experience, follow-up techniques, and tools to resolve claims and secure payments.

• Elevate unpaid claims to payer claims supervisors when standard follow-up actions fail.

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

• Transfer account notes into Amplify’s workflow tool.

• Assign the appropriate status codes in Amplify’s workflow tool to recognize and address trends.

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

• Report payer denial patterns and other trends to Management.

• Address assigned underpayments as guided by Management.

• Uphold daily productivity and quality standards specific to the client and position.

• Research and analyze correspondence related to assigned accounts.

• Engage daily with team members, management, and clients via email, phone calls, video meetings, and collaborative tools.

⛳️ Requirements

• Must exhibit the ability to work independently from home in a dynamic, fast-paced, and goal-focused environment.

• Direct experience in 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.

• Capable of providing information about patient accounts in response to inquiries while safeguarding confidential information in verbal and written communications.

• Demonstrated understanding of the complete revenue cycle.

• Must be detail-oriented, organized, and able to apply critical thinking skills effectively.

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

• High school diploma or equivalent is necessary.

• Additional training in hospital insurance collections is advantageous.

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

• Stable internet connection is mandatory.

• Quiet and dedicated workspace that is free from distractions is essential.

• Access to necessary office equipment is required.

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

• Wellness platform with premium incentives.

• Employee assistance support.

• Additional voluntary supplemental plans such as 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.