A/R Specialist

Company Description

At The CHC Alliance, we are dedicated to the healthcare industry and committed to improving the well-being of underserved and underprivileged communities. We focus on empowering individuals to reach their full potential, fostering opportunities for growth for all involved. Our expertise lies in CHC/FQHC Revenue Cycle Management, Credentialing, and Consulting services. By addressing challenges with innovative solutions, we strive to drive success and positive change within the healthcare sector.

Description: 

We are searching for a A/R Specialist to handle medical billing and collections. In this position, you will handle denials and appeals, work aging reports and assist with insurance payments and posting deductibles. Our ideal applicant is well versed in the complete revenue cycle and has experience in accounts receivable, preferably in a medical environment, knowledge in reviewing and submitting claims both electronically and on paper, ability to read explanation of benefits and maintain accurate contractual financial adjustments. You also need to be familiar with the insurance industry, especially with how to file medical claims with Medicare and Medicaid. Ideal candidate will be dependable, well organized, have attention to detail, be a team player. FQHC knowledge is a plus.

Work Arrangement: On-site preferred; remote option available for candidates residing more than 30 miles from ZIP code 32174

Duties May Include:

· Denial Management and working denials – responsible for taking action on non-payment and zero pay claims. This would include contacting the payers as needed, correct and rebill claims.

· Identify and resolve A/R balances

· Maintaining the privacy and security of protected health information and adhering to HIPPA guidelines and regulations

· Identify and document any payer issues as they arise and communicate all issues to teammates and supervisor.

· Provide any information required by insurance companies to overturn denied claims such as medical records, primary payer EOB statements, etc. in a timely manner.

Education:

· High School Diploma or GED. Billing certification and at least two years of billing experience required. Experience can be a substitute for certification.

Skills/ Experience:

· At least two years of medical billing experience

· A background in hospital and/or medical facility preferred

· Knowledge of medical billing and insurance practices

· Knowledge of business office procedures

· Knowledge of billing computer software

· Comprehensive understanding of how to process paper and electronic medical claims

· Ability to operate a computer and basic office equipment

· Ability to operate a multiline telephone system

· Ability to read, understand and follow oral and written instructions

· Ability to establish and maintain effective working relationships with insurance company representatives, colleagues, clients and patients if needed

· Must be well organized and detail oriented

· Ability to assess and initiate independently

· Adaptability and flexibility to complete various tasks

· A positive attitude

· A strong desire to succeed

Benefits:

· Competitive salary based upon experience

· Paid personal days and company holidays, including your birthday

· 401k Retirement Savings Plan

By submission of your application, you represent and warrant that you are not bound by any restrictive covenant that any employment or discussions thereof with The CHC Alliance, LLC would violate.