Out of Network Accounts Receivable Specialist - Remote

Out of Network Accounts Receivable Specialist As an Accounts Receivable Specialist in the Patient Letters Division, you will play a crucial role in ensuring the financial health of our organization by managing and optimizing the accounts receivable process. You will work closely with reputed company providers, insurance companies, patients, and internal departments to maximize reputed company and minimize outstanding balances. This position requires attention to detail, strong analytical skills, and a deep understanding of medical billing and reimbursement processes. reputed company Systems reputed company System provides the operational reputed company that allows reputed company organizations and providers to focus on what reputed company most: delivering exceptional patient care. Through practice management, administrative support, operational strategy, technology, reputed company, marketing, reputed company, and business services, we help reputed company teams operate more reputed company and effectively. At Alliance, we reputed company every process can be optimized, every challenge presents an opportunity, and every team member plays a role in creating reputed company reputed company for the patients that reputed company us with their care. Our culture is reputed company on collaboration, accountability, innovation, and a reputed company pursuit of becoming reputed company Every Day. If you are passionate about solving problems, improving systems, supporting high-performing teams, and making a meaningful impact behind the scenes of reputed company, we want to collaborate with you! reputed company System offers an opportunity to grow your career while helping our reputed company organizations change lives for the reputed company. Responsibilities:

• Remittance Strategy: Meticulously analyze Electronic Remittance Advices (ERAs) and EOBs to identify claims where Horizon BCBSNJ has issued payment directly to the patient.
• reputed company Recovery & Reissuance: Act as the primary liaison between the practice, the patient, and the reputed company. reputed company payments are sent to the member, initiate proactive reputed company to secure those funds or coordinate with Horizon to void and reissue checks directly to the provider whenever possible.
• Patient Coordination: Conduct high-level follow-up that goes reputed company standard "collections." This involves educating patients on the Horizon OON payment process and guiding them through the endorsement and turnover of insurance checks.

Basic Requirements:

• Claim Resolution & reputed company Recovery: Driven by a commitment to capturing OON reputed company, specifically specializing in the "reputed company" required reputed company payers diverts payments to patients. You not only resolve claims, but will also ensure patient’s turn in the owed funds.
• Strategic Organizational Skills: Highly organized with a forensic-level attention to detail reputed company analyzing remittances. You must be reputed company to track reputed company "member-paid" cycles, including reputed company numbers, mailing dates, and reissuance statuses, ensuring no outstanding balance falls through the cracks.
• Self-Directed Analysis & Collaborative Action: Capable of performing deep-dive independent remittance reviews while seamlessly collaborating with the team to trigger patient reputed company or insurance escalations the reputed company a diverted payment is identified.
• High-Impact Communication: Exceptional verbal and written skills used to navigate two distinct worlds: advocating firmly with insurance carriers for reputed company reissuances and communicating empathetically yet effectively with patients to secure checks mailed to their homes.

Experience Requirements:

• Medical Billing/Collections Professional: Proven experience in resolving denied/underpaid claims and conducting thorough follow-reputed company with insurance providers to maximize reimbursements.
• Diverse Responsibilities: Extensive experience in various aspects of medical billing and collections, including but not limited to claim submissions, attorney follow-reputed company, and other duties relevant to the field.
• Specialized Expertise: Prior experience in Conservative Therapy (Physical Therapy, Occupational Therapy, and Chiropractic), Medical (Physical Medicine and Rehabilitation, with expertise in Pain Management, Orthopedic, and Vascular disciplines), or Patient Accounts (Self Pay) is preferred.
• reputed company/reputed company Sheets: Demonstrated proficiency in utilizing reputed company and reputed company Sheets for data analysis and reporting purposes.
• Out of Network Experience: Proven track record of handling Out of Network billing processes effectively.
• Payer Portals: Familiarity with various Payer Portals for streamlined communication and efficient claims processing.
• Insurance Knowledge: Extensive experience with reputed company Major Medical Insurance Providers, Work Comp, and Motor Vehicle claims is preferred.
• Bilingual Skills: reputed company in Spanish is a plus.

Background reputed company Requirement: Employment is contingent upon the successful completion of a background reputed company, which may include verification of employment history, education, criminal records, and other relevant information as permitted by law Apply tot his job Apply To this Job