The Accounts Receivable Specialist is responsible for the accounts receivable including the collection, coordination of billing processes and communicating trends and patterns to the claims and finance team. Properly apply contractual obligations and adjustments when performing billing functions.

DUTIES & RESPONSIBILITIES:

• Correctly and efficiently reviews demographic and patient insurance data in our proprietary billing system as it relates to covered services and areas
• Accurately assess claims and identify any problematic issues associated with adjudication that may impact upstream billing to payers
• Effectively communicate with insurance companies to ascertain claim status and accurate claim dispositions
• Review 277/277CA responses and complete rejection process
• Review 835s and rebill claims, as necessary
• Review denials to determine appropriate action based on carrier requirements
• Provide follow up with payers or internal claims processing team on denied or unpaid claims as applicable to the root cause of the denial; this could be an insurance plan error or internal processing such as in the case of coordination of benefits or billing configuration
• Serve as the point of contact for all inquiries from insurance companies, while providing superior customer service
• Continued professional development desired and encouraged
• Maintain strictest confidentiality; adhere to all HIPAA (Health Insurance Portability and

Accountability) and other industry rules and regulations.REQUIREMENTS & QUALIFICATIONS:

• A minimum of 3 years’ experience in end-to-end revenue cycle management
• High school diploma required; Associate’s/bachelor’s degree is a plus
• Knowledge of billing procedures and collection techniques
• Professional personal presentation
• Experience working independently, as well as member of various teams and/or workgroups
• Strong computer skills and knowledge of MS Office products, specifically Excel
• Ability to quickly navigate between different system platforms
• Strong written and verbal communication skills
• Strong organizational skills, problem-solving, and analytical skills

This position offers the opportunity to work in a dynamic environment where your skills will be valued. If you meet the qualifications above and are looking to grow your career in accounting, we encourage you to apply.

Job Type: Full-time

Pay: $44,000.00 - $55,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Experience level:

• 5 years

Schedule:

• Monday to Friday

Work Location: In person