Worker's Compensation AR Collections Specialist

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

📋 Description

• The Medical Billing Workers' Compensation AR Specialist will operate fully remotely and possess extensive knowledge of all elements of an accounts receivable management system, encompassing billing, claim corrections, reconciliation, insurance refunds/credit balances, customer service, and follow-up.

• This role involves assessing claim information to ensure precision and providing feedback to both clinical and non-clinical teams regarding claim inaccuracies and/or denials.

• Additionally, the specialist will handle all facets of collections, address customer billing issues, and minimize accounts receivable delinquency.

• The Medical Billing Workers' Compensation AR Specialist will work on remote tasks related to A/R clean-up, collections, and reviews.

• Responsibilities include following up on all returned claims, correspondence, denials, account reconciliations, and rebills to secure maximum reimbursement promptly, prioritizing patient satisfaction.

• Duties also entail mailing correspondence to insurance carriers for claim payments through claim reviews and/or appeals in accordance with carrier guidelines.

• The specialist will review and monitor assigned accounts and all relevant collection reports.

• Follow-up on claim reviews and appeals with insurance carriers is also required.

• Scanning and faxing documents related to patient accounts received from carriers is part of the job.

• The specialist will actively seek solutions to issues and present ideas and recommendations to management.

• Retroactive eligibility verification is necessary.

• Continuous attempts to verify any inaccurate or missing information will be expected.

• Additional duties may be assigned as necessary.

⛳️ Requirements

• A High School Diploma or equivalent is mandatory. (Required)

• At least 1 year of experience in Workers' Compensation Billing and AR collections, preferably within a physician office setting.

• A minimum of 1 year of experience in Medical Appeals and Denials is required. (Required)

• At least 1 year of knowledge in insurance verification and eligibility is essential. (Required)

• Knowledge and experience in Spine/Orthopedic medicine billing is preferred.

• Familiarity with Athena EMR is advantageous but not compulsory.

• A solid understanding of medical and insurance terminology is necessary.

• Strong attention to detail is required.

• The ability to communicate effectively both verbally and in writing is essential.

• Candidates must be able to thrive in a fast-paced environment.

🏝️ Benefits

• A remote office environment is provided.