Accounts Receivable Specialist

Role Overview

• Following up directly with commercial, governmental, and other payers to resolve claim payment issues.
• Identifying and analyzing denials, payment variances, and no response claims.
• Drafting and submitting technical and clinical appeals.
• Providing support for all denial, no response, and audit activities.
• Examining denied and other non-paid claims to determine discrepancies.
• Communicating directly with payers to follow up on outstanding claims.
• Filing technical and clinical appeals, resolving payment variances, and ensuring timely and accurate reimbursement.

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