AR Specialist 3

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

📋 Description

• Support patients with the financial aspects of hospital services and collect outstanding balances.

• Mentor both existing and newly hired patient account representatives.

• Serve as a supervisor in the absence of the primary supervisor.

• Assist the supervisor in coordinating and following up on claims from billing until final resolution.

• Review and prepare claims for both manual and electronic billing submissions.

• Identify billing errors that need correction and educate coworkers to prevent recurrence.

• Review edits in the electronic billing system that hinder the processing of clean claims.

• Manage assigned accounts daily in accordance with productivity and quality objectives.

• Follow up on payment discrepancies, low reimbursements, appeals, and denials.

• Aid in the creation of training documentation for both new and established staff members.

• Foster supportive relationships with both management and clients.

• Communicate any payer or client changes to other departments.

• Provide guidance to the team regarding work-related inquiries.

• Stay updated on commercial and managed care pricing models, rules, and regulations.

• Maintain knowledge of commercial payers as well as Medicare/Medicaid HMOs for the assigned project.

• Uphold a professional demeanor and confidentiality at all times.

• Comply with company policies, laws, regulations, governance, and compliance requirements.

• Report any violations of policy, compliance, law, or regulation.

• Assist in the remediation of internal control failures and the self-assessment processes.

• Communicate concerns regarding internal controls and process changes to management.

⛳️ Requirements

• A minimum of 5 years of experience in the healthcare reimbursement sector, primarily with Commercial insurance and Managed Care carriers.

• At least 5 years of experience in healthcare customer service or the insurance collections field.

• Strong understanding of computer billing systems, particularly X-claim.

• Capability to train, mentor, and lead a team effectively.

• Experience in customer support and client issue resolution management.

• Proficient in MS Office applications.

• Excellent verbal and written communication skills.

• In-depth knowledge of the relevant field.

• Ability to maintain confidentiality in all matters.

• Capable of following directions, collaborating with others, and managing stress effectively.

• Occasionally lift and/or move items up to 15 pounds.

• Some travel may be necessary.

🏝️ Benefits

• Reasonable accommodations may be provided to enable individuals with disabilities to perform essential functions.

• Equal Opportunity Employer.