Medical Accounts Receivable Specialist

1 month ago

Richardson, United States AppleOne Full time
Job DescriptionJob DescriptionAmazing opportunity located in the Richardson, TX area with a great medical organization. We are looking for a Accounts Receivable Specialist who can secures revenue by following up on outstanding billing resolving discrepancies, and appealing claims. Must have 3 years experience in medical collections with some experience in out-of-network claims.

What you will be responsible for:

Responsibilities include but are not limited to:
· Checking initial claim status to ensure claim’s processing has begun
· Tracking and Resolving outstanding payment issues
· Generate weekly aging spreadsheet with timely dates from insurance carrier guidelines
· Maintain an accurate aging report
· Prepare and maintain various reports
· Conduct account research and analysis
· Identify reimbursement policies outlined by individual insurance carriers
· Identify medical coverage policies outlined by individual insurance carriers
· Submitting verbal/written claim appeals
· Make daily collection calls to insurance carriers
· Submitting claim review requests to upper management for adjustment or closure
·Checking initial claim status to ensure claim’s processing has begun
· Tracking and Resolving outstanding payment issues
· Generate weekly aging spreadsheet with timely dates from insurance carrier guidelines
· Maintain an accurate aging report
· Prepare and maintain various reports
· Conduct account research and analysis
· Identify reimbursement policies outlined by individual insurance carriers
· Identify medical coverage policies outlined by individual insurance carriers
· Submitting verbal/written claim appeals
· Make daily collection calls to insurance carriers
· Submitting claim review requests to upper management for adjustment or closure

The company has excellent benefits and a inclusive culture.

This is an amazing opportunity for the right candidate.
Must have great MS Excel skills. Must be technically savvy.

EEO/AA Employer/Vet/Disabled.

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

#1010

Company DescriptionFounder and CEO, Janice Bryant Howroyd, is a North Carolina native who left her hometown in 1976 armed with $1500. Since then, she has dedicated her efforts to building an organization that is committed to keeping the humanity in Human Resources and Strategic, Inclusive Procurement.

Mrs. Howroyd’s commitment to excellence has grown ActOne Group to 33 countries, with over 17,000 clients and more than 2,800 employees. The largest woman-minority-owned workforce management company founded in the US, ActOne Group professionals bring expertise in delivering corporate HR initiatives to local and global markets.

Mrs. Howroyd was selected by former President Barack Obama to serve as a White House appointee and continues to serve under the current administration as an Ambassador of Energy. Mrs. Howroyd gives generously through funding and advocacy for STEM education, particularly for women and minorities.

Mrs. Howroyd leads her teams to build business success based on the ability to connect great companies with outstanding talent. Her passion for education, mentorship, and self-empowerment initiatives have earned her many professional and philanthropic recognitions. She is a sought–after speaker and media subject matter expert in her fields. Her book, The Art of Work: How to Make Work, Work for You, is available on Amazon.com.Company DescriptionFounder and CEO, Janice Bryant Howroyd, is a North Carolina native who left her hometown in 1976 armed with $1500. Since then, she has dedicated her efforts to building an organization that is committed to keeping the humanity in Human Resources and Strategic, Inclusive Procurement.\r
\r
Mrs. Howroyd’s commitment to excellence has grown ActOne Group to 33 countries, with over 17,000 clients and more than 2,800 employees. The largest woman-minority-owned workforce management company founded in the US, ActOne Group professionals bring expertise in delivering corporate HR initiatives to local and global markets.\r
\r
Mrs. Howroyd was selected by former President Barack Obama to serve as a White House appointee and continues to serve under the current administration as an Ambassador of Energy. Mrs. Howroyd gives generously through funding and advocacy for STEM education, particularly for women and minorities.\r
\r
Mrs. Howroyd leads her teams to build business success based on the ability to connect great companies with outstanding talent. Her passion for education, mentorship, and self-empowerment initiatives have earned her many professional and philanthropic recognitions. She is a sought–after speaker and media subject matter expert in her fields. Her book, The Art of Work: How to Make Work, Work for You, is available on Amazon.com.

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