Physicians - Accounts Receivable Associate Specialist
E
EnsembleHealthcare revenue cycle
Remote position; limited to individuals who reside and are authorized to work within the United States.Full-TimeEntry
SalaryThis position pays between $17.00 - $18.65/hr based on experience
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Job Details
- Experience
- 1 or more years of relevant experience preferred.
- Required Skills
- Microsoft Excel
Requirements
- Demonstrate basic computer knowledge and proficiency in Microsoft Excel.
- Use problem-solving skills to assess accounts and determine a collection plan.
- Apply critical thinking to payment tools and differing accounts.
- Demonstrate strong verbal skills.
- Meet quality and productivity standards within required timelines.
- Meet attendance policies.
- Be adaptable to changing procedures and a growing environment.
- Show openness to innovation, including AI, to explore process improvements.
- A 2- or 4-year college degree is preferred.
- One or more years of relevant experience in medical collections, physician/hospital operations, A/R follow-up, denials and appeals, compliance, provider relations, or professional billing is preferred.
- Knowledge of claims review and analysis and working knowledge of revenue cycle are preferred.
- Experience with the DDE Medicare system and payer websites, and knowledge of medical or insurance claim terminology, are preferred.
Responsibilities
- Examine denied and other non-paid claims to determine the reason for discrepancies.
- Contact payers about outstanding claims, submit technical and clinical appeals, resolve payment variances, and support timely, accurate reimbursement.
- Identify reasons for underpayments, denials, and payment delays.
- Work with management to identify, trend, and address root causes of accounts receivable issues.
- Maintain an understanding of federal and state regulations and payer-specific requirements, and take appropriate action.
- Document claim-related activity accurately in the client host system or appropriate tracking system.
- Recommend improvements and communicate trends and issues to management.
- Meet quality, productivity, and attendance requirements.
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