Insurance AR Specialist
4 days ago
Salem Health Hospitals and Clinics is seeking a highly skilled Insurance AR Specialist to join our team. As a key member of our Professional Billing department, you will play a critical role in ensuring timely and accurate reimbursement from payers.
Key Responsibilities- Resolve moderate to complex claim errors prior to submission to payers, ensuring timely and accurate submission to maximize reimbursement.
- Work moderate to complex denials in a timely and detail-oriented fashion, ensuring timely and accurate submission to maximize reimbursement.
- Utilize advanced industry knowledge and problem-solving skills to identify and analyze variances between expected reimbursement and actual reimbursement from payers.
- Communicate directly with payers to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement.
- Work with leadership to identify and analyze trends, address root causes of issues in both claim edits and denials, and help pinpoint strategies for reducing AR.
- Maintain a thorough understanding of federal and state regulations, as well as, specific payer requirements and explanations of benefits, in order to identify and report billing compliance issues and payer discrepancies.
- Relocation assistance available for qualified positions.
- Full comprehensive medical, dental, and vision plans.
- Basic and voluntary life insurance.
- Short and long-term disability.
- Live Well Wellness Program.
- Employee Assistance Program (EAP).
- 401(K) retirement plan with employer contributions.
- Generous paid time off (PTO) accrual and holiday pay.
- Onsite fitness center with 24/7 badge access.
- Education assistance program.
- Public service loan forgiveness (PSLF) eligible employer.
- Food and drink discounts in the cafeteria.
- Impressive discounts offered by Nike, Adidas, Carhartt and others.
- High school diploma or equivalent required.
- Minimum of three (3) years of relevant experience in medical or professional billing required.
- EPIC Resolute experience preferred.
- CRCR Preferred.
- Knowledge of EOBs, insurance payers, ICD-9, ICD-10 and CPT codes.
- Moderate computer/math skills; moderate knowledge of business/office machines.
- Possess excellent clerical, organizational, record-keeping and customer service skills.
- Proficient in typing and 10-key.
- Moderate knowledge of Revenue Cycle.
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