A/R Management Specialist

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

📋 Description

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

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

• Reach out to insurance carriers regarding overdue account statuses.

• Achieve or surpass 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.

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

• Ensure that accounts referred to collections have been thoroughly addressed prior to external referral.

• Complete designated special projects.

• Conduct quality checks on assigned claims.

• Maintain confidentiality at all times.

• Execute duties in accordance with company standards and state and federal regulations.

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

• Follow company attendance policies diligently.

• Carry out additional assigned responsibilities.

⛳️ 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.

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

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

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

• Proficiency with online platforms, billing software, and payer portals.

• Previous customer service experience is necessary.

• Basic computer skills and experience with Microsoft Office applications.

• Excellent customer service, interpersonal, organizational, communication, and time-management skills.

• Strong investigative and research capabilities.

• Ability to resolve complex billing challenges.

• Effective critical thinking and analytical skills.

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

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

• Capacity to meet company standards, state and federal regulations, HIPAA requirements, and attendance policies.

🏝️ Benefits

• Competitive salary based on experience.

• Comprehensive benefits package.

• 401(k) Plan.

• Remote work option.

• Equal Opportunity Employer.

• Inclusive workplace that values and promotes diversity.