Medical Accounts Receivable Specialist - Remote

Job Description Summary:

Job Description:

Coordinates and performs all aspects of accounts receivable collection and reprocessing of claims.

ROLE AND RESPONSIBILITIES

• Audits and resolves accounts with credit balances
• Audits and resolves accounts with outstanding balances and determines disposition of delinquent accounts
• Audits and resolves accounts with credit balances
• Posts payments and adjustments and take action when rates do not match established fee schedules
• Performs necessary rebilling or adjusting on accounts
• Responds to patient inquiries regarding process of services
• Answers incoming Patient Accounts calls as member of the AR team phone queue
• Cross trains within department to provide coverage when necessary
• Collaborates with Office Mgr’s regarding quality of data obtained by office staff, healthcare providers.
• Organizes work load to achieve a high level of productivity
• Notifies Manager of information that negatively impacts production
• Assist with special projects as needed

QUALIFICATIONS

• One of the following must be met:
  1.) Associates degree in Health Information Management Systems (or related field) with 1+ years’ experience in a healthcare billing and collections office
  2.) Coding Certification/Billing Certificate Program (AAPC’s CPC or AHIMA’s CCA) with 2 years’ experience in a healthcare billing and collections office
  3.) 5 + years’ experience in a healthcare billing and collections office
• In depth knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules. Insurance reimbursement methods, the claims appeal process, understanding of managed care contracts and capitation payments
• Proficient in Microsoft Excel, Word, Access and Outlook

This Position is available for remote work.