Accounts Receivable Specialist

Overview

An organization specializing in physician billing is seeking a full-time Accounts Receivable Specialist. This remote position requires 2 to 4 years of relevant experience and offers a starting pay of $20 per hour, depending on experience. Competitive benefits include medical, dental, vision, short-term and long-term disability insurance, HSA with employer contribution, and a 401(k) plan with employer match.

Responsibilities

• Interact continuously with physicians, patients, and insurance vendors to investigate outstanding claims and incomplete payments.
• Provide first-level customer support for billing services, including answering phones and researching patient account issues.
• Maintain proficiency and appropriate knowledge of all required systems for task completion.
• Complete patient billing and investigate daily denials by working with insurance vendors and adjusters to resolve problem accounts and re-file open claims.
• Maintain up-to-date patient demographics and insurance information.
• Identify errors through coding, charge entry, and cash application processes.
• Work claims based on aging from date of service, file appeals, and make decisions on adjustments.
• Refer refund requests to refund specialists.
• Document activity accurately and timely on patient accounts.
• Review and prepare accounts for collections.
• Communicate progress on assigned tasks to management.
• Ensure compliance with all state and federal billing regulations, including HIPAA, and report any suspected compliance issues.
• Collaborate with management to improve processes, increase accuracy, and create efficiencies.
• Participate in a rotation to cover customer service lines until 6:00 PM EST approximately once every six weeks.
• 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.
• Knowledge of business office procedures.
• Ability to establish and maintain effective working relationships with patients, physicians, client practice staff, and co-workers.
• Proficiency 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 billing or health insurance claim processing preferred.

Preferred Qualifications

• Associate degree or higher in Medical Billing and Coding or a related field preferred but not required if experience criteria are met.
• Knowledge of CPT, ICD-9, and HCPCS coding preferred.
• Experience with one or more billing software platforms such as EPIC, Ideal, Allscripts, Centricity, Acumen-Epic, iSalus, or Athena.
• Experience in medical specialties such as Nephrology, OB/GYN, Gastroenterology, Internal Medicine, or Long Term Care preferred.

Work Environment

• Remote work option available.
• In-office position with flexible arrival and departure times also possible.
• Proficiency in communication tools such as Teams, Zoom, or Webex required.

Compensation & Benefits

• Starting pay at $20 per hour, depending on experience.
• Medical, dental, and vision insurance.
• Short-term and long-term disability coverage.
• Health Savings Account (HSA) with employer contribution, as applicable.
• 401(k) plan with employer match.