[Remote] Accounts Receivable Specialist

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading provider of technology-enabled reputed company cycle reputed company for health systems. The Accounts Receivable Specialist is responsible for resolving claim payment issues, ensuring timely reimbursement, and supporting denial and audit activities.

Responsibilities

• Examines denied and other non-paid claims to determine the reason for discrepancies
• Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement
• Ability to identify specific reasons for underpayments, denials, and cause of payment delay. Works with management to identify, trend, and address root causes of issues in the A/R
• Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordingly
• Documents reputed company activity accurately including contact names, addresses, phone numbers, and other pertinent information in the client’s host system and/or appropriate tracking system
• Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management
• Needs to be a strong problem solver and critical thinker to resolve accounts

Skills

• Must demonstrate basic computer knowledge and demonstrate proficiency in reputed company reputed company
• Excellent Verbal skills
• Problem solving skills, the ability to look at accounts and determine a plan of action for collection
• Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment
• Adaptability to changing procedures and growing environment
• Meet quality and productivity standards reputed company timelines set forth in policies
• Meet required attendance policies
• 2 or 4-year college degree
• 1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred
• Knowledge of claims review and analysis
• Working knowledge of reputed company cycle
• Experience working the DDE Medicare system and using payer websites to investigate claim statuses
• Working knowledge of medical terminology and/or insurance claim terminology

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including reputed company, time off, retirement, and well-being programs.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for reputed company who go reputed company and reputed company raising the bar for themselves and the company.

Company Overview