Accounts Receivable Specialist

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

📋 Description

• Initiate telephone communications with patients, hospitals, insurance providers, facilities, and legal representatives to investigate claims or gather further insurance details.

• Reach out to insurance companies to inquire about the status of overdue accounts.

• Achieve or surpass established productivity and quality benchmarks.

• Record account activities in the claims processing system.

• Follow up on self-pay accounts, verify insurance coverage, and set up payment plans.

• Manage workflow and reduce aging accounts by consistently following up on unpaid claims each day.

• Monitor accounts that are nearing collections prior to referring them to an external collection agency.

• Complete designated special projects.

• Conduct quality assessments on assigned claims.

• Uphold confidentiality.

• Execute responsibilities in alignment with company standards and state and federal regulations.

• Ensure adherence to laws and regulations, including HIPAA compliance.

• Follow company attendance policies.

• Undertake 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 knowledge of remittance advices, payer denial codes, and timely filing limits.

• Understanding of ICD-10, HCPCS, and general medical terminology is essential.

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

• Proficiency in using web platforms, billing software, and payer portals.

• Previous experience in customer service is necessary.

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

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

• Excellent investigative, research, critical thinking, and analytical skills.

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

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

🏝️ Benefits

• Competitive salary, based on experience.

• Comprehensive benefits package available.

• 401(k) plan offered.

• Remote work arrangement provided.