Job description

Are you ready to take the next step in your career? Come join a dynamic, friendly, supportive work environment from the comforts of your home! We are seeking an Accounts Receivable Specialist to join an established and talented team. The Accounts Receivable Specialist supports the operations of the revenue cycle team by identifying and resolving any claim delay issues that impact collections in a timely and accurate manner while adhering to local, state, and federal compliance guidelines. Provides team members support needed to assist in meeting accuracy and productivity goals, minimizing errors, rejections, and denials via use of the billing system.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Identify and resolve any claim delay issues that impact collections.
• Follow up on payment errors, low reimbursement, denials and outstanding payment trends
• Accurately interpret Explanation of Benefits (EOB).
• Initiate and track appeals and reconsiderations as necessary.
• Resolve Coordination of Benefit (COB) discrepancies.

• Working directly with the insurance company, provider, and patient to get a claim processed and paid
• Reviewing rejected and denied claims

· Verifying patients’ insurance coverage

· Examines and reviews payer rejections, which includes educating internal staff

· Interacts with appropriate contacts on billing related issues

· Uses and applies basic regulatory guidelines as instructed by the leadership team, or other coding personnel

· Assures adherence to department quality and productivity standards

· Communicates and coordinates with external departments as needed

Qualifications

· To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above 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 and/or Experience

· High school diploma or general education degree (GED); Minimum of three year(s) experience in healthcare, with specific emphasis on revenue cycle billing, charging, coding, or finance.

Work Environment

· The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· This job will be performed in a remote, work from home environment.

Language Skills

Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Mathematical Skills

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Computer Skills

Computer skills to include MS Office, Windows operating system, Internet, and ability to navigate through electronic health record systems

Other Skills and Abilities

Ability to work and meet deadlines in a fast-paced, dynamic, project-oriented environment through organization and time management skills

Basic understanding of CPT, HCPCS, ICD, and revenue codes

Knowledge of Medicare, Medicaid, third-party billing rules, coverage, payment, and compliance

Ability to read medical charts or dictation, understand services performed, and correlate those services to charges on the claim

Self-motivated, detail-oriented focus, and outstanding customer service skills

Job Type: Full-time

Benefits:

• Flexible schedule
• Health insurance
• Paid time off

Schedule:

• Monday to Friday

Application Question(s):

• Talk a little bit about why you are good at working from home

Experience:

• Revenue cycle management: 3 years (Required)

Work Location: Remote

jjbodyshop.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jjbodyshop.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jjbodyshop.com is the ideal place to find your next job.