Accounts Receivable Claims Analyst

1 week ago

Chicago, Illinois, United States Balance Health Full time
Job Overview

Balance Health is a leading provider in the lower-extremity healthcare sector, dedicated to enhancing patient mobility and well-being. We are currently seeking a dedicated and experienced Accounts Receivable Claims Specialist to join our team in a full-time, remote capacity. This role is crucial in managing and optimizing our billing processes, ensuring accurate claim submissions, and addressing any discrepancies that may arise.

Key Responsibilities:

  • Thoroughly analyze and follow up on rejected or unpaid claims, adhering to established protocols.
  • Manage MGRHOLD and HOLD buckets in accordance with productivity standards.
  • Review and appeal unpaid or denied claims with various insurance providers.
  • Conduct audits and analyses of billing practices to ensure compliance with regulations.
  • Verify the accuracy of insurance payments and address any discrepancies identified.
  • Generate routine and ad hoc reports as needed.
  • Monitor Accounts Receivable ('AR') and Collections effectively.
  • Identify and bill secondary or tertiary insurance when applicable.
  • Provide clear and timely communication with patients and insurance companies regarding billing inquiries.
  • Handle challenging situations with professionalism and patience.

Qualifications:

To excel in this position, candidates should possess the following:

  • A high school diploma or equivalent.
  • A minimum of 3 years of relevant experience in an Accounts Receivable role, including:
  • Proficient interpretation of insurance Explanation of Benefits (EOBs).
  • Experience with medical claims processing, billing, payment postings, and insurance collections.
  • Comprehensive knowledge of insurance guidelines, particularly Medicare and Medicaid.
  • Strong organizational and time management skills, with the ability to prioritize tasks effectively.
  • Excellent verbal and written communication skills, ensuring professional interactions.
  • Proficiency in Microsoft Office Suite, including Word, Excel, and Outlook.
  • Legal eligibility to work in the United States without sponsorship.
  • Ability to pass a thorough background check, including a clean driving record and drug screening.

Preferred Qualifications:

  • Certification as a Professional Coder (CPC) is advantageous but not mandatory.
  • Experience in ancillary billing is preferred.
  • Background in a medical practice environment is beneficial.

Compensation and Benefits:

  • This is a fully remote, full-time position with a competitive hourly wage ranging from $23 to $28, based on relevant experience.
  • Eligible for company benefits after 30 days of employment, provided a consistent 30-hour work week is maintained.
  • Participation in the 401(k) program with company matching is available after two months of employment.

Balance Health is committed to providing equal employment opportunities to all qualified applicants and employees, regardless of any legally protected characteristics. We value diversity and strive to create an inclusive workplace.

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