We care about the people we serve. And we care about the people they serve.

We pay attention to details.

We use technology to be more efficient.

We take pride in our results.

Join Accountable Revenue Cycle Solutions in Westerville, Ohio. Fabulous office environment and team. Strong, supportive management.

Accountable Revenue Cycle Solutions is seeking an experienced high performing Accounts Receivable Specialist that works in-office in Westerville, Ohio to join our organization. Experience in medical billing and accounts receivable is a requirement, but we’re looking for people that can also offer more than that. If you share our passion for professional excellence, and our commitment to being the most effective billing partner a medical practice can choose, this is the job for you.

POSITION PURPOSE

The Accounts Receivable Specialists are responsible for researching unpaid insurance claims and obtaining payment on unpaid balances from insurance companies and patients in a timely manner.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Monitors the electronic data interchange portal daily to research, resolve and resubmit the previous day’s claims that were rejected. Reports rejection trends and works to resolve root cause of rejections with team and clients.
• Obtains the list of claims denied by the insurance carrier each day from the Payment Posting Specialist. Researches and resolves all underpayments and denials that are not coding related, collaborating with the client if needed.
• Researches and gathers information to provide to clients regarding denials and claim issues being identified in order to resolve current claims and prevent on future claims.
• Monitors the status on previously worked claims by: a.) consistently running and reviewing aging reports to proactively identify insurance claims that require additional follow-up; b.) Setting reminders in the practice management software to prompt follow-up at specific time intervals
• Files appeals with insurance companies for denied claims when appropriate. Help maintain team knowledge of proper appeals process for each payer.
• Thoroughly documents all follow-up activity in the patient account for future reference by teammates, the supervisor and client representatives.
• Responds to inquiries from insurance companies, patients and client representatives within a timely fashion and utilizing good customer service skills
• Accepts inbound calls from patients making payments, and arranges payment plans within the parameters established by the client. Shows kindness and a willingness to work with the patient to resolve outstanding balances and claims issues.
• Reviews patient aging reports each month to identify delinquent patient accounts, institute a statement holds, when appropriate, and refer them to the client for collection activity.
• Reviews credit balance accounts each month to identify overpayments and take the appropriate action to resolve and return the funds to the insurance company or patient.
• Complies with company policies and compliance requirements, and performs work in compliance with regulatory standards pertaining to billing, patient privacy, protection of electronic health information, etc.
• Cooperates with internal colleagues, peers and external client team members to carry out essential duties and other assignments in a manner that supports the goals and strategic direction of the company.
• Models behavior at work that is consistent with the company’s code of conduct and that promotes an atmosphere of kindness, professionalism and respect within the team and towards clients.

ADDITIONAL DUTIES

This position description is not designed to cover every type of activity or work that may be required in this position. Duties and responsibilities may change, or new ones may be assigned to the employee at any time based on the needs of the company. A higher level specialist may guide others with daily tasks and have additional job responsibilities.

REQUIRED QUALIFICATIONS

Personal Attributes:

• Goal oriented and focused on measurable results
• Ability to identify patterns of error in the billing process and proactively alert management so that root causes of claim denials may be corrected
• Accountable to meet deadlines and prevent timely filing denials
• Excellent customer service skills
• Ability to work collaboratively and effectively as part of a team

Education, Training, Certification and Experience:

• Experience working as an accounts receivable specialist in healthcare
• Working knowledge of medical terminology, CPT coding, and ICD-10 coding
• Current knowledge about payer-specific reimbursement policies
• Experience with PM Systems Nextgen, EPIC, and/or EClinical Works preferred

Benefit Conditions:

• Waiting period may apply
• Only full-time employees eligible

Work Remotely

• No

Job Type: Full-time

Pay: $18.50 - $22.00 per hour

Benefits:

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

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Office

Application Question(s):

• Are you willing to work in-office in Westerville, Ohio Monday through Friday from approx. 8:00am - 4:30pm?

Experience:

• Accounts receivable (medical billing): 2 years (Required)

Language:

• English fluently (Required)

Work Location: In person