Accounts Receivable Specialist

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

📋 Description

• Execute ICD and CPT coding, data entry, and claims processing for office E&M charges, procedures, imaging, infusions, labs, and various provider services.

• Review claims to ensure clean submission.

• Address appeals and denials promptly, developing solutions to minimize future occurrences.

• Collaborate and communicate with the billing company, hospitals, and insurance providers.

• Accurately assign ICD and CPT codes along with the appropriate modifiers.

• Examine and assess patient records to identify coding levels and billable services.

• Investigate coding and claims inquiries to uphold quality standards.

• Assist office managers and staff with coding and billing practices.

• Engage in coding audits and participate in educational activities.

• Stay updated on CPT, ICD-10, CMS, and payer coding and billing regulations.

• Achieve or surpass quality and productivity benchmarks.

• Respond to emails, voicemails, and return calls in a timely manner.

• Fulfill information requests from staff to facilitate payment on patient accounts.

• Uphold HIPAA compliance and ensure patient confidentiality.

• Take part in staff meetings.

• Cross-train and undertake other practice functions and special projects as assigned.

• Report directly to the Revenue Cycle Manager.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• CPC certification is required.

• 3-4 years of experience in coding and/or medical office billing is essential.

• Proficient understanding of EMR software functionality and operations.

• Competency in various Microsoft Office applications.

• Knowledgeable in responding to claims inquiries and denials.

• Advanced expertise in E&M and procedural coding is preferred.

• Clinical specialty experience in Gastroenterology is preferred.

• Ability to deliver high-quality patient care and customer service.

• Capable of planning, prioritizing, and completing multiple tasks within designated time frames.

• Able to work under pressure and communicate issues promptly.

• Maintain professionalism and composure in all situations.

• Communicate effectively via telephone, email, and in person.

• Interpret and apply both clinical and non-clinical policies and procedures.

• Ability to sit and stand in a typical office environment.

• Willingness to travel as business needs arise.

• Must successfully pass a pre-employment drug screening.

🏝️ Benefits

• Pre-employment drug screening is contingent upon an employment offer.

• Drug-free workplace policy.

• Equal Opportunity Employer.