Overview
An organization specializing in physician billing is seeking a full-time Accounts Receivable Specialist. This role supports revenue cycle management for independent physician practices by managing accounts receivable and providing customer service related to billing.
Responsibilities
- Maintain up-to-date patient demographics and insurance information
- Identify errors in coding, charge entry, and cash application processes
- Investigate and resolve daily denials by working with insurance companies and adjusters; re-file and re-open claims, file appeals, and make adjustment decisions
- Investigate and work claims based on aging from date of service
- Refer refund requests to refund specialists
- Provide first-level customer service support for billing services, including answering patient questions and researching account issues
- Assist with pending items such as charges, payments, and denials, and follow up to confirm resolution
- Document activity accurately and timely on patient accounts
- Review and prepare accounts for collections
- Communicate progress on assigned tasks to management
- Maintain proficiency and knowledge of all required systems
- Ensure compliance with all state and federal billing regulations, including HIPAA; report suspected compliance issues to management
- Collaborate with management to improve processes, increase accuracy, and create efficiencies
- Perform other duties as assigned
Requirements
- High school diploma or equivalent required
- Minimum 2 years of experience in medical billing or graduation from an accredited medical college
- Understanding of government and managed care payment methodologies and terminology such as contractual adjustment, allowed amount, coinsurance, denial, and denial processes
- Experience in billing or health insurance claim processing preferred
- Knowledge of CPT, ICD-9, and HCPCS coding preferred
- Ability to establish and maintain effective working relationships with patients, physicians, client practice staff, and co-workers
- Proficient in operating computers, copiers, and fax machines
- Ability to sort and file materials correctly by alphabetic or numeric systems
- Strong verbal and written communication skills
- Knowledge of Microsoft Office products
- Experience with one or more billing software platforms such as EPIC, Ideal, Allscripts, Centricity, Acumen-Epic, iSalus, Athena preferred
- Experience in specialties such as Nephrology, OB/GYN, Gastroenterology, Internal Medicine, or Long Term Care preferred
- Required to stay until 6:00 PM EST approximately once every six weeks on a rotating basis to cover customer service lines
Education
- Associates Degree or higher in Medical Billing and Coding or related field preferred but not required if candidate has at least 2 years of prior billing experience in a physician practice medical billing environment
Compensation & Benefits
- Starting pay at $20 per hour, depending on experience
- Medical, dental, and vision insurance
- Short-term and long-term disability insurance
- Health Savings Account (HSA) with employer contribution (as applicable)
- 401(k) plan with employer match
Location
- Remote position with flexibility in arrival and departure times
- Proficiency in communication tools such as Teams, Zoom, or Webex required
- Must be able to work remotely and participate in scheduled rotations for extended hours coverage