Insurance AR Specialist

3 days ago

Houston, Texas, United States Ortholonestar Full time $40,000 - $50,000 per year
Job Details Entry Houston, TX Fully Remote Full Time High School/GED Description

Job Summary:  Responsible for reviewing and submitting claims on a daily basis. 



Essential Duties and Responsibilities: The essential duties of the position include the following. Other duties may be assigned.



Key Functions:

Prepares and submit clean claims to various insurance companies either electronically or on paper.Contact carriers by phone or website for claim status on outstanding insurance balances.Process and work all insurance correspondence.Perform various collection actions including contacting patients by phone, correct and resubmitting claims to other carriers. Obtain necessary documentation required to submit to insurance to expedite payments.Answers questions from patients, clerical staff and insurance companies.Identify and resolve patient billing complaints.Prepare appeal letters for all claims that are denied for payment.Document all collection activities using guidelines in place.Identify underpayments by checking payments received against our contracted fee schedule.Work and process all insurance refund requests.Report payer issues or delays to supervisor.Participate in educational activitiesMaintains strict confidentiality; adhere to all HIPAA guidelines/regulations.Team Player with ability to solve problems and recommend solutions.Must be able to manage assigned workload and prioritize accordingly.Maintain accurate and timely reconciliation of accounts receivable.Review claims stopped in the claim scrubber.Work Claims rejected by the clearinghouse.

Supervisory Responsibilities: None.



Qualifications

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.



Education/Experience:   High School Diploma or GED, and minimum one year experience in a medical billing/collections field.



Language Ability:  Ability to write and read.



Math Ability:  Ability to add, subtract, multiple and divide on all units of measure, using whole numbers, common fractions and decimals.



Reasoning Ability:  Ability to read and interpret explanation of benefits remittances to determine and identify claim denial reasons and necessary course of action for resolutions.



Computer Skills: Ability to type 45 WPM, basic proficiency in Microsoft Outlook/Office, and experience using or ability to learn and comprehend computer programs.



Certificates and Licenses:  None



Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.



  • Project Controls Specialist

    1 day ago

    Houston, Texas, United States ARES Corporation Full time $60,000 - $120,000 per year

    ARES Corporation is seeking a motivated individual to join our Flight Operations Project Control Team support the Johnson Space Center. The Project Control Specialist manages financial and/or administrative aspects of assigned contracts and deliverables. Tracks and validates all client financial information, establishes and maintains master contract files,...

  • Patient AR Specialist

    5 days ago

    Houston, Texas, United States Ortholonestar Mso Llc Full time $43,000 - $65,000 per year

    Job Summary:The Patient Accounts Receivable Collections Specialist is responsible for managing the collection of outstanding patient accounts receivable balances. They will work closely with patients, insurance companies, and healthcare providers to resolve outstanding balances, identify and rectify billing discrepancies, and ensure timely payment. The...

  • Insurance Specialist

    1 day ago

    Houston, Texas, United States SWE HOMES L P Full time $40,000 - $80,000 per year

    Job Details Job Location:    Corporate Office- Houston - Houston, TX Salary Range:    Undisclosed DescriptionSWE and its affiliates have been in business nearly 40 years and been consistently profitable regardless of the economic environment.The Insurance Specialist will be assessing property risks, explaining policy details, generating quotes,...

  • Data AP/AR Clerk

    3 days ago

    Houston, Texas, United States Competitive Choice, Inc. Full time $50,000 - $75,000 per year

    Who We AreWe are a diverse distributor of Specialty Chemicals, Electrical Supplies, Lighting, EV Charging Stations, Cable Wire, Data Communications, Power Distribution, Panels, Industrial Equipment, HVAC and Plumbing Equipment, and Office Supplies.Our products and services support new construction, infrastructure updates, building renovation, facility...

  • Asset Recovery Specialist

    5 days ago

    Houston, Texas, United States Law Office of Victor D. Walker, P.C. Full time $51,600 - $156,000 per year

    Job SummaryTitan Genealogy & Property Research, LLC (TIGR) is looking for professionals to join our Asset Recovery Specialist team in locating former homeowners owed money held in judicial county court systems due to property tax sales. Customer service or sales experience in real estate, family, genealogy mapping, or professional client service are a plus...

  • AR / Billing Specialist

    1 day ago

    Houston, Texas, United States Saulsbury Full time $60,000 - $90,000 per year

    Take your next step with Saulsbury IndustriesLocation:Houston, Texas or Odessa, TexasType:Full Time – In OfficeJob SummaryThe Corporate Accounting Billing Specialist is responsible for preparing, reviewing, and issuing invoices in a timely and accurate manner. This role plays a key part in managing the billing cycle, ensuring compliance with corporate...

  • AR Specialist

    5 days ago

    Houston, Texas, United States Johnstone Supply Full time $45,000 - $65,000 per year

    Position PurposeEnsure customer accounts are properly maintained and monitored in accordance with company procedures and policiesLeadership SummaryThis position has no supervisory responsibilities.OperationsEssential Job Results:Reviews of customer invoices and monthly statements are processed accurately.Assists and applies customer payments via credit...

  • Accounts Receivable Specialist

    4 days ago

    Houston, Texas, United States SmartestEnergy Full time $60,000 - $120,000 per year

    The future of energy is digitized, decarbonized and localized. At SmartestEnergy, we need revolutionary thinkers to help our customers make the most of this new landscape, thinking differently to find smart solutions to complex problems.Formed in 2001, we're an agile business driven by entrepreneurial thinking. As a subsidiary of the Marubeni Corporation, we...

  • Experienced Humana Insurance Collection Specialist

    6 days ago

    Houston, Texas, United States AIS HealthCare Full time $60,000 - $120,000 per year

    This is a 100% remote opportunity; however, please only apply if you have 3 to 5 years of medical insurance collection experience.AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving...

  • Accounting Specialist

    1 day ago

    Houston, Texas, United States Southwest Galvanizing Full time $60,000 per year

    Full-time Description ONLY QUALIFIED CANDIDATES WILL BE CONSIDEREDPosition Summary:The Accounting Specialist supports the financial operations of Southwest Galvanizing, Inc. by performing daily accounting tasks, ensuring accuracy in financial reporting, and maintaining compliance with company policies and accounting standards. Key Responsibilities:Accounts...