Insurance Accounts Receivable Specialist I

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

📋 Description

• Execute billing-related responsibilities, including data entry, claim assessment, charge analysis, and follow-up on accounts receivable.

• Address entry-level insurance denials associated with medical records, eligibility, and coordination of benefits.

• Complete daily activities within designated work queues, following manager instructions and established workflows.

• Utilize CBO Pathways, payer websites, billing systems, and training resources to address unpaid or underpaid claims and authorize procedures.

• Identify payer requirements, provider credentialing, and coding issues while escalating complex cases to management.

• Analyze reports to pinpoint unpaid claims and identify potential revenue opportunities.

• Engage with providers, patients, coders, and other stakeholders to ensure accurate and timely processing of claims.

• Comply with workflows, operational policies, compliance standards, regulatory obligations, HIPAA, and Solaris Health policies.

• Contribute insights on system edits, process enhancements, policies, and billing procedures.

• Attend meetings and workgroups, completing necessary training.

• Review and apply policies and procedures, coordinate activities with team members, and explain processes as needed.

• Execute system corrections and resubmit claims as required.

• Report any suspected compliance issues or violations.

• Carry out other job-related responsibilities as assigned.

⛳️ Requirements

• A high school diploma or equivalent is required.

• Prior experience in a customer service or healthcare environment is preferred.

• Exceptional interpersonal and communication abilities.

• Strong customer service focus with a friendly and approachable demeanor.

• Basic understanding of medical facility layouts and department functions; training will be provided.

• Reliability and punctuality are essential.

• Capability to work independently as well as collaboratively within a team.

• Cultural sensitivity and the ability to engage respectfully with diverse populations.

• Proficiency in using computer programs and applications, including Microsoft Office.

• Ability to adhere to departmental workflows, operational policies, compliance standards, and regulatory requirements.

• Capacity to maintain patient confidentiality in accordance with HIPAA regulations.

• Willingness to complete required compliance training.

• No certifications, licensures, or registry requirements (N/A).

• No required travel (N/A).

🏝️ Benefits

• Paid time off (PTO).

• Holiday pay.

• Health insurance.

• Dental insurance.

• Vision insurance.

• Life insurance.

• Pet insurance.

• Health savings account.

• Paid sick leave.

• Paid holidays.

• Profit sharing.

• Retirement plan.

• Fully remote position.

• No weekends, no evenings, and no holidays.