What are the responsibilities and job description for the Medical Accounts Receivable Specialist position at Avalon Medical Group?
Overview
Join our dynamic healthcare team as a Medical Accounts Receivable Specialist and become a vital part of ensuring smooth financial operations within a busy medical practice or healthcare organization. In this role, you will be responsible for managing and optimizing the collection of outstanding medical bills, accurately processing insurance claims, and maintaining precise financial records. Your expertise will help improve cash flow, reduce denials, and enhance overall revenue cycle management. If you thrive in a fast-paced environment, possess strong attention to detail, and are passionate about healthcare finance, this opportunity is perfect for you!
Duties
- Review and follow up on unpaid or aged accounts receivable to ensure timely collection of outstanding balances.
- Process and submit healthcare claims using billing software, ensuring accuracy with CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding standards.
- Verify insurance coverage details, health insurance information, and patient eligibility to facilitate smooth claim processing.
- Resolve billing discrepancies by analyzing medical records, medical coding, and medical documentation to identify errors or missing information.
- Communicate professionally with insurance companies, patients, and healthcare providers to clarify claim issues and expedite resolution.
- Maintain detailed records of all collection activities, payment postings, adjustments, and correspondence in electronic health record (EHR) systems or billing software.
- Stay updated on healthcare claims management policies, coding changes, and industry regulations to ensure compliance and maximize reimbursement.
Qualifications
- Proven experience in medical billing, medical coding (DRG, CPT coding), and accounts receivable management within a healthcare setting.
- Strong knowledge of health insurance processes, healthcare claims management, and medical terminology.
- Proficiency with Microsoft Office applications (Excel, Word) as well as billing software and EMR/EHR systems.
- Familiarity with ICD-9/ICD-10 coding standards and the ability to accurately code diagnoses and procedures for billing purposes.
- Excellent customer service skills with the ability to communicate clearly and professionally with patients and insurance representatives.
- Ability to analyze complex medical records and resolve billing issues efficiently while maintaining attention to detail.
- Prior experience working in a medical office environment or healthcare claims management is highly desirable.
Embark on a rewarding career where your skills directly impact patient care by ensuring accurate revenue cycle processes! We are committed to supporting your professional growth while fostering a positive work environment that values your contributions every step of the way.
Pay: $17.00 per hour
Expected hours: 36.0 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Application Question(s):
- How many years of recent, hands-on MEDICAL insurance accounts receivable experience do you have in a physician office or medical clinic?
- Have you personally worked denied, rejected, unpaid, and underpaid insurance claims through resolution?
- Describe what you would do if a claim has been sitting in the 60–90-day A/R bucket with no payment.
Experience:
- Accounts receivable: 2 years (Required)
- Medical billing: 2 years (Required)
- EMR systems: 2 years (Required)
Work Location: In person
Salary : $17