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Accounts Receivable Specialist

2 months ago

Garden Grove, California, United States Royalty Medical Solutions Full time
Job Overview

We are seeking a highly skilled and detail-oriented Accounts Receivable Specialist to join our team at Royalty Medical Solutions. As an AR Specialist, you will be responsible for managing and resolving outstanding accounts receivable balances.

Key Responsibilities:

  • Reviewing and reconciling accounts receivable balances to ensure accuracy and compliance with healthcare regulations.
  • Identifying and resolving billing errors, discrepancies, and denials in a timely and efficient manner.
  • Communicating with insurance companies and healthcare providers to resolve outstanding claims and ensure timely payment collection.
  • Investigating and responding to patient inquiries and disputes in a professional and courteous manner.
  • Posting payments and adjustments in the billing system to maintain accurate and up-to-date records.
  • Preparing and submitting appeals for denied claims to ensure maximum reimbursement.
  • Maintaining accurate and organized AR records and documentation to ensure compliance with regulatory requirements.
  • Staying up-to-date with changes in healthcare regulations and insurance guidelines to ensure compliance and optimal reimbursement.

Requirements:

  • Bachelor's degree in a related field or equivalent experience.
  • Prior experience in accounts receivable or medical billing role, with a strong understanding of medical billing procedures and insurance guidelines.
  • Proficiency in using billing software and electronic health records (EHR) systems.
  • Strong analytical and problem-solving skills, with the ability to work independently and collaboratively in a team environment.
  • Excellent written and verbal communication skills, with the ability to communicate effectively with patients, insurance companies, and healthcare providers.