Accounts Receivable Specialist

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

📋 Description

• Assist in all facets of insurance and patient billing to guarantee prompt and precise payments to clients or providers.

• Communicate with patients, hospitals, insurance companies, facilities, and attorneys to investigate claims or gather additional insurance details.

• Reach out to insurance carriers concerning the status of overdue accounts.

• Achieve or surpass established productivity and quality benchmarks.

• Record account activity in the claims processing system.

• Follow up on self-pay accounts, including confirming insurance coverage and setting up payment plans.

• Daily follow-up on unpaid claims to reduce aging accounts.

• Ensure all accounts nearing collections are thoroughly addressed before referral to an external collection agency.

• Complete designated special projects.

• Conduct quality assurance checks on assigned claims.

• Uphold confidentiality and adhere to company standards, HIPAA, and state and federal regulations.

• Carry out additional tasks as assigned.

⛳️ Requirements

• High School Diploma or equivalent is mandatory.

• At least 1 year of experience in healthcare claims processing, billing, or accounts receivable is required.

• Practical experience in preparing and submitting insurance appeals, including familiarity with remittance advices, payer denial codes, and timely filing limits.

• Knowledge of ICD-10, HCPCS, and general medical terminology is necessary.

• EMS billing experience is highly preferred; experience in other medical specialties will also be considered.

• Proficient with various online platforms, including billing software and payer portals.

• Previous customer service experience is essential.

• Ability to collaborate effectively with other departments and team members.

• Basic computer skills and experience with Microsoft Office are required.

• Strong customer service, interpersonal, organizational, communication, and time-management abilities.

• Excellent investigative and research skills, with a capacity to resolve complex billing issues.

• Strong critical thinking and analytical skills.

• Capability to work independently in a dynamic, fast-paced environment with minimal supervision.

• Ability to manage all aspects of the job role independently, including required goals and business practices, in a remote environment.

• Compliance with HIPAA and relevant state and federal laws and regulations is necessary.

• Commitment to maintaining confidentiality.

• Adherence to company attendance policies is required.

🏝️ Benefits

• Competitive salary, aligned with experience.

• Comprehensive benefits package.

• 401(k) Plan.

• Remote work arrangement.