AR Specialist, Medicare

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

📋 Description

• Manage accounts receivable payments and adjustments efficiently.

• Investigate and resolve discrepancies in accounts receivable in a timely manner.

• Follow up on outstanding and aged receivables diligently.

• Keep accounts receivable documentation organized.

• Recognize opportunities for enhancing accounts receivable processes.

• Have demonstrated experience with billing and accounts receivable follow-up in hospital inpatient, outpatient, CAH, Method I & II, RHC, and provider-based settings.

• Possess a thorough understanding of billing regulations pertaining to Medicare and Medicare Advantage.

• Ability to work independently to ensure timely and comprehensive follow-up on unresolved hospital and physician claims.

• Exhibit strong expertise in managing RTP and denied claims.

• Demonstrate strong capabilities in preparing and submitting appeals and reconsiderations to health plans.

• Quickly adapt to proprietary tools and technology.

⛳️ Requirements

• Minimum of 5 years of experience in hospital and physician claims follow-up and denials management.

• At least 3 years of experience in Medicare billing or Medicare follow-up.

• Proficient in hospital EMRs such as Cerner, Epic, McKesson, CPSI, Meditech, etc.

• Familiar with various billing systems including Waystar, SSI, Quadax, Availity, etc.

• Proficient in the Medicare DDE system.

• Skilled in MS Excel and MS Outlook.

• Exceptional written and oral communication abilities.

• Strong organizational, time management, and interpersonal skills.

🏝️ Benefits

• Competitive hourly wage based on experience.

• Comprehensive benefits package including 401k with company match.

• Progressive paid time off policy with paid holidays.