Accounts Receivable Specialist

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

📋 Description

• Engage with insurance payers to follow up on outstanding claims, eliminate payment barriers, and expedite cash collections.

• Collect and follow up on accounts within your assigned inventory by employing effective follow-up strategies and tools.

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

• Utilize the 5 W’s framework along with relevant policies and procedures to document client host systems.

• Transfer account notes into Amplify’s workflow tool.

• Apply status codes in Amplify’s workflow tool to pinpoint and tackle trends.

• Draft first- and second-level appeal letters for denials to overturn them and ensure payment is received.

• Report payer denial trends and other relevant issues to management.

• Handle assigned underpayments as instructed by management.

• Meet daily productivity and quality benchmarks.

• Investigate and analyze correspondence related to assigned accounts.

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

⛳️ Requirements

• High school diploma or GED equivalent.

• 3-5 years of experience in accounts receivables and collections.

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

• Familiarity with Medical Terminology, ICD-10, CPT, and DRG.

• Intermediate proficiency in Excel is preferred.

• Experience with Meditech Expanse is a plus.

• Capability to work independently from home in a dynamic, fast-paced, and goal-oriented environment.

• Ability to protect confidential patient account information.

• Comprehensive understanding of the entire revenue cycle.

• Highly detail-oriented and organized, with strong critical thinking abilities.

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

🏝️ 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.

• Access to a wellness platform with premium incentives.

• Employee assistance support available.

• Additional voluntary supplemental plans 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 options.

• Opportunities for professional development.

• Equipment provided by the company.