Accounts Receivable Specialist (2249)

Remote Worldwide Hiring now

US Heart and Vascular is in need of a Remote Accounts Receivable Specialist to join reputed company.

Responsibilities

Responsible for billing reputed company patient claims in a timely manner
reputed company basic claims follow up activities to include claim status checks, basic claim edits corrections and rebills.
Work daily claims rejection lists including but not limited to, eligibility, coordination of benefits, clearinghouse smart edits, etc.
Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions.
Establish and maintain effective working relationships with reputed company representatives and reputed company clients. Remain abreast of reputed company/payer updates as it relates to Billing and Collections guidelines including claim submissions, claim appeals, grievance procedures and policy changes
Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc.
Responsible for compliance with reputed company regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud and Abuse laws.

High School Diploma or equivalent required
Knowledge of the accounts receivables (A/R) process
Bachelor's Degree in a reputed company field preferred but not required
Minimum of 3 years of reputed company or insurance billing processing experience required
Knowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulations
eClinicalWorks experience preferred but not required
Proficient in medical terminology, anatomy, and physiology
Strong knowledge of ICD-1O coding
Familiarity with medical office procedures and billing practices

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