A/R Management Specialist

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

📋 Description

• Provide assistance in insurance and patient billing to guarantee timely and precise payments to clients or providers.

• Contact patients, hospitals, insurance companies, facilities, and attorneys to investigate claims or gather insurance information.

• Reach out to insurance carriers regarding overdue account statuses.

• Achieve or exceed established productivity and quality benchmarks.

• Record account activities in the claims processing system.

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

• Conduct daily follow-ups on unpaid claims to reduce aging accounts.

• Ensure that accounts sent to collections have been thoroughly worked prior to referral to an external collection agency.

• Complete designated special projects.

• Perform quality checks on assigned claims.

• Maintain confidentiality at all times.

• Execute responsibilities in accordance with company standards as well as state and federal regulations.

• Ensure compliance with relevant laws and regulations, including HIPAA.

• Follow company attendance policies diligently.

• Undertake additional duties as required.

⛳️ 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, with an understanding of remittance advices, payer denial codes, and payer timely filing limits.

• Knowledge of ICD-10, HCPCS, and basic medical terminology is essential.

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

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

• Previous customer service experience with the ability to collaborate effectively with other departments and team members.

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

• Strong customer service skills and experience are essential.

• Excellent interpersonal, organizational, communication, and time-management abilities.

• Strong investigative and research skills, capable of resolving complex billing issues.

• Effective critical thinking and analytical skills.

• Ability to work independently in a fast-paced and adaptive environment with minimal supervision.

• Capability to independently manage all facets of the job role, including required objectives and business practices, in a remote setting.

• Commitment to complying with HIPAA, state, and federal laws and regulations.

🏝️ Benefits

• Competitive salary, based on experience.

• Comprehensive benefits package.

• 401(k) Plan.

• Remote work arrangement.