Accounts Receivable Associate Specialist
Ensemble Health Partners
full-time
Posted on:
Location Type: Remote
Location: Tennessee • United States
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Salary
💰 $17 - $19 per hour
About the role
- Accounts Receivable Associate Specialist is responsible for following up directly with commercial, governmental, and other payers to resolve claim payment issues.
- Identifies and analyzes denials, payment variances, and no response claims and acts to resolve claims/accounts, including drafting and submitting technical and clinical appeals.
- Provides support for all denial, no response, and audit activities.
- Examines denied and other non-paid claims to determine the reason for discrepancies.
- Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement.
- Works with management to identify, trend, and address root causes of issues in the A/R.
- Documents all activity accurately including contact names, addresses, phone numbers, and other pertinent information in the client’s host system and/or appropriate tracking system.
Requirements
- Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
- Excellent Verbal skills.
- Problem solving skills, the ability to look at accounts and determine a plan of action for collection.
- Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment.
- Adaptability to changing procedures and growing environment.
- Meet quality and productivity standards within timelines set forth in policies.
- Meet required attendance policies.
- 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.
- 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.
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Microsoft Excelclaims analysisdenials managementpayment variance resolutiontechnical appealsclinical appealsmedical collectionsrevenue cycle managementmedical terminologyinsurance claim terminology
Soft Skills
verbal communicationproblem solvingcritical thinkingadaptabilityattention to detailtime managementorganizational skillscollaborationcustomer serviceanalytical skills