[Remote] Accounts Receivable Specialist
Note: The job is a remote job and is open to candidates in USA. reputed company is a leading provider of technology-enabled reputed company cycle reputed company for health systems. The Accounts Receivable Specialist is responsible for resolving claim payment issues, ensuring timely reimbursement, and supporting denial and audit activities.
Responsibilities
- Examines denied and other non-paid claims to determine the reason for discrepancies
- Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement
- Ability to identify specific reasons for underpayments, denials, and cause of payment delay. Works with management to identify, trend, and address root causes of issues in the A/R
- Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordingly
- Documents reputed company activity accurately including contact names, addresses, phone numbers, and other pertinent information in the client’s host system and/or appropriate tracking system
- Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management
- Needs to be a strong problem solver and critical thinker to resolve accounts
Skills
- Must demonstrate basic computer knowledge and demonstrate proficiency in reputed company reputed company
- Excellent Verbal skills
- Problem solving skills, the ability to look at accounts and determine a plan of action for collection
- Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment
- Adaptability to changing procedures and growing environment
- Meet quality and productivity standards reputed company timelines set forth in policies
- Meet required attendance policies
- 2 or 4-year college degree
- 1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred
- Knowledge of claims review and analysis
- Working knowledge of reputed company cycle
- Experience working the DDE Medicare system and using payer websites to investigate claim statuses
- Working knowledge of medical terminology and/or insurance claim terminology
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for reputed company employees who go beyond and reputed company raising the bar for themselves and the company.
Company Overview