Accounts Receivable Specialist
2 weeks ago
Balance Health is a leading provider specializing in comprehensive lower-extremity care. We are currently seeking a dedicated and experienced Accounts Receivable Claim Specialist to manage our billing and claims processes. This position is full-time and fully remote, allowing for flexibility while ensuring that our revenue cycle operates smoothly.
The successful candidate will be responsible for reviewing claims activities, submitting billing information, and resolving any discrepancies related to accounts receivable. You will work closely with various healthcare providers to ensure accurate documentation and productivity, while also identifying opportunities for process improvements.
Key Responsibilities:
- Analyze and follow up on rejected or unpaid claims in accordance with established protocols.
- Manage billing and submissions effectively, ensuring compliance with productivity standards.
- Review and appeal denied claims with insurance companies, maintaining thorough documentation.
- Conduct audits and analyses of billing practices to ensure regulatory compliance.
- Assess the accuracy of insurance payments and address any discrepancies promptly.
- Generate routine and ad hoc reports as needed.
- Monitor Accounts Receivable ('AR') and Collections efficiently.
- Identify and bill secondary or tertiary insurances appropriately.
- Provide clear communication to patients and insurance representatives regarding billing inquiries.
- Handle challenging situations with professionalism and patience.
Qualifications:
To excel in this role, candidates should possess the following:
- A high school diploma or equivalent.
- A minimum of 3 years of experience in an accounts receivable role, with a focus on:
- Interpreting insurance Explanation of Benefits (EOBs) accurately.
- Managing medical claims, billing, and insurance collections.
- A comprehensive understanding of insurance guidelines, particularly Medicare and Medicaid.
- Strong time management and organizational skills.
- Effective verbal and written communication skills.
- Proficiency in Microsoft Office applications, including Word, Excel, and Outlook.
- Legal eligibility to work in the United States without sponsorship.
- Ability to pass a background check and pre-employment drug screening.
Preferred Qualifications:
- Certification as a Professional Coder (CPC) is a plus.
- Experience in ancillary billing is advantageous.
- Prior experience in a medical practice setting is preferred.
Compensation and Benefits:
- This is a fully remote position with a competitive hourly pay range of $23 - $28, based on relevant experience.
- Eligible for company benefits after 30 days of employment.
- Participation in the 401(k) program with company matching after 2 months of employment.
Balance Health is committed to providing equal employment opportunities to all qualified applicants and employees, regardless of any legally protected characteristics.
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