Accounts Receivable Specialist
New
J
JobgetherHealthcare Finance
Based in the United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- At least 3 years of healthcare billing accounts receivable experience
- Required Skills
- Microsoft Excel
Requirements
- High school diploma or GED required; associate degree in Healthcare Management or related field preferred.
- At least 3 years of healthcare billing accounts receivable experience.
- Experience with electronic medical record (EMR) platforms like Epic or eClinicalWorks preferred.
- Working knowledge of CPT and ICD coding, medical terminology, and insurance guidelines.
- Ability to interpret Explanation of Benefits (EOBs) and calculate deductibles/coinsurance.
- Strong understanding of payer requirements (Medicare, Medicaid, workers’ compensation).
- Proficiency with Microsoft Office (Excel, Word) and strong computer skills.
- Excellent attention to detail, mathematical accuracy, and time-management skills.
- Strong verbal and written communication and customer-service skills.
- CPAR or Certified Medical Billing Specialist credentials are a plus.
Responsibilities
- Manage accounts receivable throughout the full claims lifecycle, including claim submission, payment follow-up, denial research, resolution, and appeals.
- Monitor aging reports and follow up with insurance carriers on unpaid or underpaid claims to maximize appropriate reimbursement.
- Investigate and resolve claim denials, payment discrepancies, and billing issues, submitting appeals with the necessary supporting documentation.
- Maintain accurate patient demographic, guarantor, insurance, billing, diagnosis, procedure, modifier, and provider information.
- Submit claims through clearinghouses or directly to payers and process claim retractions, write-offs, and contractual adjustments according to payer guidelines.
- Review insurance payments for accuracy and contract compliance, post insurance and patient payments, and reconcile daily deposits.
- Coordinate secondary billing when patients have multiple insurance plans and verify eligibility and benefits coverage.
- Interpret Explanation of Benefits statements, calculate deductibles and coinsurance, and apply knowledge of Medicare, Medicaid, workers’ compensation, and other insurance requirements.
- Respond to inquiries from patients, providers, and insurance companies while providing professional, tactful, and effective customer service.
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