Accounts Receivable Specialist

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

📋 Description

• Manage daily billing processes, address claims issues, denials, and follow up for designated regions or locations.

• Investigate, pinpoint, and correct factors contributing to delays in account submission or payment.

• Proactively communicate accounts receivable concerns to management to uphold compliance and precision.

• Determine reasons for claim denials and resolve them with minimal guidance.

• Assess issues and report on denial and payer trends.

• Follow up on outstanding claims within established billing cycle timelines.

• Prepare and submit corrected or replacement claims, reconsiderations, appeals, medical documentation, and other essential payer documents via fax and provider portals.

• Make outbound calls to payers to address claims and payment issues.

• Ensure patient medical information is accurate and current.

• Meet productivity standards set by the organization and external benchmarks.

• Provide reports and communicate accounts receivable concerns to the team lead.

• Utilize the billing system to document patient accounts with proper grammar, spelling, and syntax.

• Offer administrative support, including assistance for internal and external audits.

• Stay updated on payer policies and guidelines.

• Execute additional assigned tasks and projects.

⛳️ Requirements

• High School diploma or equivalent.

• Education in medical billing or possession of medical billing certification is preferred.

• Experience with Mod Med/EMA practice management system is advantageous.

• Familiarity with basic principles of revenue cycle, accounts receivables, denial management, and coding (CPT/HCPCS/ICD10).

• Must exhibit a high level of professionalism and be an effective communicator.

• Detail-oriented, results-driven self-starter with a positive demeanor.

• Ability to multitask, prioritize, and manage time effectively in a remote working environment.

• Willingness to learn and adapt swiftly in a dynamic setting.

• Capability to maintain a high level of integrity and confidentiality regarding medical information.

• Applicants must be authorized to work in the United States on a full-time basis.

🏝️ Benefits

• Competitive Pay – Attractive compensation to reward your hard work.

• Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered.

• Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting.

• Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year.

• Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans.

• Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances.

• Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security.

• Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges.

• Exclusive Employee Discounts – Save on products and services with special discounts just for you.

• Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team.