Accounts Receivable Specialist
RigUp
ERP
Accounts Receivable Specialist
Ensemble Health Partners
full-time
Posted on:
Location: 🇺🇸 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 appropriate and timely reimbursement
- Identify and analyze denials, payment variances, and no response claims and act to resolve claims/accounts
- Draft and submit technical and clinical appeals
- Provide support for all denial, no response, and audit activities
- Examine denied and other non-paid claims to determine reasons for discrepancies
- Communicate directly with payers, resolve payment variances, and ensure timely and accurate reimbursement
- Work with management to identify, trend, and address root causes of issues in the A/R
- Maintain understanding of federal and state regulations and payer specific requirements and take appropriate action
- Document all activity accurately including contact names, addresses, phone numbers, and other pertinent information in client systems or tracking systems
- Demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management
Requirements
- Must demonstrate basic computer knowledge
- Demonstrate proficiency in Microsoft Excel
- Excellent Verbal skills
- Problem solving skills and critical thinking
- Ability to identify plan of action for collection and determine reasons for underpayments, denials, and payment delays
- Adaptability to changing procedures and growing environment
- Meet quality and productivity standards and required attendance policies
- Knowledge of federal and state regulations and payer specific requirements
- Preferred: 2 or 4-year college degree
- Preferred: 1 or more years of 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
- Preferred: Working knowledge of revenue cycle
- Preferred: Experience working the DDE Medicare system and using payer websites to investigate claim statuses
- Preferred: Working knowledge of medical terminology and/or insurance claim terminology
