Accounts Receivable Claims Specialist

New
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details

Experience
Minimum 1 year
Required Skills
Microsoft ExcelData entry

Requirements

  • Minimum 1 year of experience in medical billing and collections.
  • Minimum 1 year of experience in accounts receivable, claims, and insurance payor requirements.
  • High school diploma or equivalent qualification required.
  • Proficiency with Microsoft Office (Excel, Word, Outlook) and databases.
  • Experience with HCPC, ICD-10 medical terminology, and insurance collections.
  • Strong data entry, organizational, analytical, and time management skills.
  • Ability to work in a fast-paced environment with attention to detail.
  • Knowledge of Medicare, Medicaid, Orthotics, Prosthetics, and DME billing preferred.

Responsibilities

  • Process daily tasks assigned from the billing software system.
  • Enter and process data related to patient care and reimbursement.
  • Contact insurance payors regarding non-payment or short payment on outstanding claims.
  • Respond to insurance payor correspondence and resolve denied claims.
  • Contact patients on outstanding balances and assist with payment plans.
  • Work AR aging reports for payors and patients.
  • Review claims forms to primary, secondary, and tertiary insurance payors.
  • Submit write-offs, adjustments, and refunds while meeting month-end billing deadlines.
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