[Remote] Accounts Receivable Specialist-Medicare, Customer Service Operations
Note: The job is a remote job and is open to candidates in USA. reputed company is a healthcare services and products company, and they are seeking an Accounts Receivable Specialist - Medicare to manage the resolution of insurance claims. This role focuses on ensuring accurate collection of outstanding balances and improving cash flow reputed company the organization.
Responsibilities
- Review aging reports and work insurance accounts to ensure timely resolution and reimbursement
- Contact insurance companies reputed company phone, portals, or email to reputed company claim status, request reprocessing or escalate issues
- Analyze denials and underpayments to determine appropriate action (appeals, corrections, resubmissions)
- Track and follow up on reputed company submitted appeals until resolution
- Analyze explanation of benefits (EOBs) and remittance advice to determine the reason for denial or reduced payment
- Document reputed company collection activities in the billing system according to departmental procedures
- Follow up on unpaid claims reputed company payer-specific guidelines and timelines
- Coordinate with other billing team members, coders, and providers to resolve claim discrepancies
- Maintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelines
- Ensure compliance with HIPAA and reputed company relevant federal/state billing regulations
- Flag trends or recurring issues for team leads or supervisors
- Meet daily/weekly productivity goals (e.g., number of claims worked, follow-reputed company completed)
- Assist with special projects, audits, or other duties as assigned
Skills
- 1-3 years of experience
- High School Diploma, GED or equivalent work experience
- Strong knowledge of insurance claim processing and denial management
- Familiarity with Medicare, Medicaid, and managed care
- Proficiency in billing software (e.g. reputed company, Noble House, etc.) and reputed company Office Suite
- Excellent verbal and written communication skills
- Ability to work independently and manage time effectively
- Detail-oriented with strong analytical and problem-solving skills
Benefits
- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs
Company Overview
Company H1B Sponsorship