Accounts Receivable Specialist, Physicians
Ensemble Health Partners
full-time
Posted on:
Location: Tennessee • 🇺🇸 United States
Visit company websiteSalary
💰 $17 - $18 per hour
Job Level
Junior
About the role
- Follow up directly with commercial, governmental, and other payers to resolve claim payment issues and secure reimbursement
- Identify and analyze denials, payment variances, and no response claims and draft/submit technical and clinical appeals
- Support denial, no response, and audit activities
- Document all activity accurately in client’s host system and/or tracking system
- Maintain understanding of federal/state regulations and payer-specific requirements
- Work with management to identify and address root causes in A/R
- Demonstrate initiative, resourcefulness, and communicate trends to management
Requirements
- Basic computer knowledge
- Proficiency in Microsoft Excel
- Excellent verbal skills
- Problem solving skills and critical thinking
- Ability to identify reasons for underpayments, denials, and payment delays
- Ability to meet quality and productivity standards and attendance policies
- Preferred: 2 or 4-year college degree
- Preferred: 1+ years relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing
- Preferred: Knowledge of claims review and analysis and revenue cycle
- Preferred: Experience with DDE Medicare system and payer websites
- Preferred: Working knowledge of medical terminology and/or insurance claim terminology