A/R Management Specialist

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

📋 Description

• Assist in revenue cycle tasks associated with outstanding insurance accounts receivable, insurance denials, and appeals.

• Conduct follow-ups on insurance and patient billing to ensure timely and accurate payments.

• Execute job duties in alignment with company standards as well as state and federal regulations.

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

• Inquire with insurance carriers regarding the status of past-due accounts.

• Achieve or surpass established productivity and quality metrics.

• Record account activities in the claims processing system.

• Follow up with patients about their insurance coverage.

• Maintain an efficient workflow and reduce aging accounts by consistently following up on outstanding claims.

• Manage accounts in collections prior to referring them to an external collection agency.

• Complete special assignments designated by the Manager.

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

• Troubleshoot and resolve intricate accounts and escalations.

• Conduct quality checks on assigned claims.

• Comply with company attendance policies.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• High School Diploma or equivalent is required.

• An Associate's Degree is preferred.

• At least 2 years of experience in healthcare claims processing, billing, or accounts receivable is necessary.

• Hands-on experience in preparing and submitting insurance appeals, with a solid understanding of payer denial codes and timely filing limits.

• Familiarity with ICD-10, HCPCS, and general medical terms is essential.

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

• Proficient in using various web platforms, including billing software and payer portals.

• Previous customer service experience is required.

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

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

• Excellent interpersonal, organizational, communication, and time-management skills are required.

• Strong investigative and research abilities, with a capacity to resolve complex billing challenges.

• Effective critical thinking and analytical skills are essential.

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

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

• Must adhere to applicable laws, regulations, HIPAA guidelines, and company standards.

🏝️ Benefits

• Competitive salary, based on experience.

• Comprehensive benefits package.

• 401(k) Plan.

• Remote work arrangement.