A/R Management Specialist II

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

📋 Description

• Carry out revenue cycle tasks related to outstanding insurance accounts receivable, denials, and appeals.

• Execute follow-up on insurance and patient billing to guarantee timely and precise payments.

• Fulfill job responsibilities in alignment with company standards as well as state and federal regulations.

• Reach out to patients, hospitals, insurance providers, facilities, and attorneys to investigate claims or acquire further insurance details.

• Inquire with insurance carriers regarding the status of overdue accounts.

• Achieve or surpass productivity and quality benchmarks.

• Document account activities within the claims processing system.

• Follow up on unsettled claims and verify insurance coverage.

• Maintain workflow to reduce aging accounts.

• Ensure all accounts approaching collections are thoroughly worked prior to referral to external collections.

• Complete designated special projects.

• Adhere to all legal and regulatory requirements, including HIPAA compliance.

• Resolve intricate accounts and escalations.

• Conduct quality checks on assigned claims.

• Comply with company attendance policies.

• Perform additional duties as required.

⛳️ Requirements

• High School Diploma or equivalent is mandatory.

• An Associate's Degree is preferred.

• A minimum of 2 years’ experience in healthcare claims processing, billing, or accounts receivable is required.

• Practical experience in preparing and submitting insurance appeals, including familiarity with payer denial codes and timely filing limits.

• Knowledge of ICD-10, HCPCS, and general medical terminology is necessary.

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

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

• Previous customer service experience is essential.

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

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

• Effective critical thinking and analytical skills.

• Capability to work autonomously in a fast-paced, adaptive environment with minimal supervision.

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

🏝️ Benefits

• Competitive salary, based on experience.

• Comprehensive benefits package.

• 401(k) Plan.

• Remote work arrangement.