Accounts Receivable Specialist

Role Overview

• Following up directly with commercial, governmental, and other payers to resolve claim payment issues
• Identify and analyze denials, payment variances, and no response claims and act to resolve claims/accounts
• Draft and submit technical and clinical appeals
• Provide support for all denial, no response, and audit activities
• Examine denied and other non-paid claims to determine the reason for discrepancies
• Communicate directly with payers to follow up on outstanding claims

Requirements

• 2 or 4-year college degree preferred
• 1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred
• Knowledge of claims review and analysis
• Working knowledge of revenue cycle
• Experience working the DDE Medicare system and using payer websites to investigate claim statuses
• Working knowledge of medical terminology and/or insurance claim terminology.

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement