Accounts Receivable Specialist

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

📋 Description

• Ability to diagnose the reasons behind claim denials and resolve them with minimal support.

• Analyze issues and report patterns related to denials and payer behaviors.

• Follow up on outstanding claims within the standard billing cycle timeframe.

• Prepare and submit corrected or replacement claims, reconsiderations, appeals, medical documentation, and other necessary documents to payers via fax, provider portals, etc.

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

• Ensure that the patient's medical information is accurate and current.

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

• Provide necessary reporting and communication regarding any accounts receivable issues directly to the team lead.

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

• Offer administrative support to the team lead when necessary, including assistance with internal and external audits.

• Maintain up-to-date knowledge of policies and guidelines for all payers.

• Adhere to the Code of Conduct and Mission & Values Statement.

• In addition to the responsibilities listed above, other duties and projects may be assigned.

⛳️ Requirements

• High School graduate or equivalent qualification.

• Preferred education in medical billing or possession of medical billing certification.

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

• Understanding of fundamental principles of revenue cycle management, 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 outlook.

• Capable of multitasking, prioritizing, and managing time effectively in a remote work environment.

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

• Ability to uphold a high level of integrity and confidentiality regarding medical information.

🏝️ 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 support you during unexpected situations.

• 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.