
Home Health Accounts Receivable Specialist
Posted Sep 14

Posted Sep 14
This is a fully remote position, open to applicants in United States.
• Oversee the coordination of claim activities and ensure timely reimbursement of receivables.
• Conduct research, resolve issues, and prepare claims that do not meet payer edits on a daily basis.
• Identify and take action to address rejected invoices.
• Analyze the outstanding monthly accounts receivable for each agency.
• Process claims to achieve zero balances.
• Address payment variances and resolve discrepancies.
• Initiate corrective actions as necessary.
• Provide guidance, instruction, and support to agency personnel regarding insurance and non-Medicare claims processing.
• Prepare input data forms to update the computer system efficiently.
• Review and engage with agencies to inform them about expectations for clean claims.
• Report directly to the Accounts Receivable Supervisor for Patient Accounts.
• High School Diploma or its equivalent.
• A minimum of 2 years of experience in medical claims processing.
• Familiarity with healthcare collection procedures and relevant software/hardware.
• Proficient in using Microsoft Office applications, including Word, Excel, Outlook, and Teams.
• Minimum internet download speed of 25 Mbps.
• Minimum internet upload speed of 10 Mbps.
• A wireless, wired cable, or DSL connection is recommended.
• Ability to work from a dedicated space free from ongoing interruptions to protect member PHI/HIPAA information.
• Medical benefits.
• Dental benefits.
• Vision benefits.
• 401(k) retirement savings plan.
• Paid time off.
• Company holidays.
• Personal holidays.
• Paid parental leave.
• Paid caregiver leave.
• Short-term disability.
• Long-term disability.
• Life insurance.
• Occasional travel to Humana offices for training or meetings.
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