Medical Accounts Receivable Specialist

2 weeks ago


Atlanta, Georgia, United States Prestige Staffing - Healthcare Jobs - Revenue Cycle Full time
Job Overview

JobID: 46911

Leading Healthcare Organization seeking a Medical Accounts Receivable Specialist.

Prestige Staffing is actively looking for a Medical Accounts Receivable Specialist in the North Atlanta area. This position offers a chance to thrive in a fulfilling and fast-paced environment. The role is contract-to-hire, with compensation commensurate with experience. There is potential for remote work following the training phase.

Compensation: $21/hr+ based on experience
Location: Remote options available after training
Schedule: Monday to Friday, 8:00 AM - 5:00 PM

Key Responsibilities:

  • Understand and apply insurance protocols, including HMO/PPO, Medicare, and state Medicaid regulations.
  • Conduct follow-ups on outstanding claims within the designated billing cycle.
  • Verify the accuracy of insurance payments and ensure compliance with contractual agreements.
  • Engage with insurance providers to address any payment discrepancies.
  • Identify and process secondary or tertiary insurance claims as necessary.
  • Review all accounts for insurance or patient follow-up actions.
  • Investigate and appeal denied claims effectively.
  • Analyze codes and research reasons for denials.

Qualifications and Skills:

  • Proficient understanding of HMO/PPO, Medicare, Medicaid, and various payer systems.
  • A minimum of 3 years of experience in medical collections and handling denials.
  • At least 3 years of experience in reviewing Explanation of Benefits (EOBs).
  • Familiarity with computer systems, software applications, and 10-key calculators.
  • Strong communication skills for effective interaction with insurance payers to resolve issues.
  • Excellent customer service abilities for engaging with patients regarding medical claims and payments.
  • Able to collaborate effectively within a team environment.
  • Strong problem-solving skills to investigate and resolve discrepancies, denials, appeals, and collections.
  • Knowledge of medical terminology relevant to medical claims processing.


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