Remote Medical Receivable Accounts Specialist | WFH

Job Overview

We are seeking a dedicated Medical Accounts Receivable Specialist to join our dynamic team in a remote capacity. In this pivotal role, you will contribute significantly to the financial health of our organization by ensuring timely payment collection, efficient resolution of claims, and meticulous financial record management. You will collaborate closely with insurance providers, patients, and cross-functional internal teams to enhance revenue generation while adhering to industry billing standards.

Key Responsibilities
? Oversee the complete billing cycle, from initial claim submission to the resolution of complex denials.
? Tackle challenging accounts by managing follow-ups, appeals, and credit balance adjustments with a focus on effective resolution.
? Proactively follow up on outstanding balances, thoroughly investigate claim denials, and resolve issues by reviewing medical records, coding, and payer contracts.
? Compose persuasive appeal letters and advocate for claim reversals, ensuring strict compliance with billing regulations and guidelines.
? Analyze daily clearinghouse rejections, identifying persistent issues and implementing necessary corrective actions.
? Maintain accurate and comprehensive patient financial records, documenting all relevant account activities.
? Collaborate with healthcare providers to secure essential documentation for timely claim submission and reimbursement.
? Manage claims across a variety of payer types, including Commercial, Medicare, Medicaid, Managed Care, and more.
? Prioritize aged accounts and handle denial and appeal projects to meet established key performance indicators (KPIs).
? Foster strong relationships with insurance companies, patients, and healthcare providers to facilitate the resolution of billing issues and ensure accurate claim submissions.

Required Skills
? Strong understanding of medical terminology.
? Excellent analytical and problem-solving abilities.
? Proficiency with ICD-10 Medical Coding and Current Procedural Terminology (CPT).
? Experience using EPIC systems.
? Exceptional communication skills to effectively build relationships with insurance providers and patients.

Qualifications
? Bachelor's Degree or equivalent professional experience.
? Minimum of 2 years of experience in medical accounts receivable.

Career Growth Opportunities

This position offers significant potential for career growth, allowing you to deepen your expertise in medical billing processes and gain exposure to diverse payer types, which can facilitate advancement in the healthcare finance sector.

Employment Type: Temporary

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