Ability to identify the cause of claim denials and resolve them, with minimal assistance.
Analyze problems and report trends related to denials and payer trends.
Follow up on unpaid claims within standard billing cycle timeframe.
Prepare and submit corrected/replacement claims, reconsiderations, appeals, medical documentation and other necessary documents to payers via fax, provider portals, etc.
Make outbound calls to payers to resolve claims and payment issues.
Ensure the patient’s medical information is accurate and up to date.
Meets productivity requirements as established by organization and external benchmarks.
Provides necessary reporting and communication of any accounts receivable issues directly to the team lead.
Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax.
Provide team lead with administrative assistance when needed including assisting with internal/external audits.
Maintains current knowledge in regards policies and guidelines for all payers.
Adheres to Code of Conduct and Mission & Values Statement.
In addition to the above job responsibilities, other duties and projects may be assigned

High School graduate or equivalent.
Education in medical billing or hold medical billing certification preferred.
Mod Med/EMA practice management system experience is a plus.
Understanding of basic principles of revenue cycle, accounts receivables, denial management and coding (CPT/HCPCS/ICD10).
Must be highly professional and an effective communicator.
Detail and results oriented, self-starter with a positive attitude
Be able to multitask, prioritize, and manage time efficiently while in a remote working environment.
Eagerness to learn and adapt quickly in a changing environment.
Ability to maintain a high level of integrity and confidentiality of medical information

Competitive Pay – Attractive compensation to reward your hard work
Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered
Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year
Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans
Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances
Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security
Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges
Exclusive Employee Discounts – Save on products and services with special discounts just for you
Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team

Accounts Receivable Specialist

Key skills