AR Medical Insurance Specialist

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

📋 Description

• Oversee accounts that are overdue and carry out collection tasks.

• Analyze reports, conduct research, and address any issues that arise.

• Validate payment entries for accuracy and confirm that account balances are up-to-date.

• Collaborate with colleagues to rectify insurance payment discrepancies and billing mistakes.

• Track and modify the status of delinquent accounts.

• Suggest accounts for collection or potential write-off.

• Reach out to patients to collect overdue balances.

• Confirm patient demographic information and insurance providers.

• Update records in systems and log conversations.

• Respond to patient inquiries regarding payments, billing, and insurance, while resolving any complaints.

• Refer patients to Patient Benefits Representatives for payment plans when suitable.

• Manage patient and payer credit balances, ensuring timely refunds in compliance with government regulations.

• Uphold confidentiality and adhere to state, federal, and HIPAA regulations concerning patient records.

• Execute additional tasks as requested or assigned.

• Frequently engage with employees, payers, and Practice staff.

⛳️ Requirements

• High School diploma or its equivalent is required.

• A minimum of two (2) years of combined experience in medical billing and payments is required.

• Familiarity with state, federal, and third-party claims processing is essential.

• Understanding of state and federal collection regulations is necessary.

• Must complete required e-learning courses within 90 days of starting the position.

• Knowledge of the profession and industry standards.

• Ability to access and utilize resources when necessary.

• Capability to adapt to multiple demands, changing priorities, uncertainties, and rapid changes.

• Maintain positive interpersonal relationships with employees, supervisors, physicians, patients, and external contacts.

• Ability to make timely, cost-effective, and sound decisions in uncertain situations.

• High performance standards and effective goal attainment.

• Commitment to quality and continuous process improvement.

• Ability to sit regularly and use a computer keyboard and mouse.

• Ability to occasionally stand, walk, reach, and lift or move up to 30 pounds.

• Vision and hearing corrected to normal levels.

🏝️ Benefits

• Medical, dental, and vision insurance plans.

• 401(k) plan with a matching component.

• Life insurance coverage.

• Short-term and long-term disability benefits.

• Wellness programs available.

• Flexible remote home office environment.

• Reasonable accommodations for individuals with disabilities.