A/R Management Specialist I
New
India, United Kingdom, United StatesFull-TimeEntry
Salary not disclosed
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Job Details
- Experience
- Minimum of 1 year of experience in healthcare claims processing, billing, or accounts receivable
- Required Skills
- Microsoft OfficeHIPAA
Requirements
- High School Diploma or equivalent.
- Minimum 1 year of experience in healthcare claims processing, billing, or accounts receivable.
- Hands-on experience with insurance appeals, remittance advices, and payer denial codes.
- Understanding of payer timely filing limits.
- Familiarity with ICD-10 and HCPCS coding systems.
- Working knowledge of general medical terminology.
- Proficiency in web-based billing software and payer portals.
- Basic computer skills and experience with Microsoft Office suite.
- Customer service experience with collaborative team skills.
- Ability to work independently in a remote environment.
Responsibilities
- Contact patients, hospitals, insurance companies, and facilities to research claims or secure information.
- Follow up with insurance carriers to determine the status of past-due accounts.
- Document all account activity accurately within the claims processing system.
- Manage self-pay accounts by contacting patients for insurance information or establishing payment plans.
- Perform daily follow-ups on unpaid claims to minimize aging accounts.
- Review accounts in collections to ensure thorough processing before referral to agencies.
- Complete quality checks on assigned claims and maintain compliance with HIPAA and other regulations.
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