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Accounts Receivable Specialist
Ensemble Health PartnersEntry Level Accounts Receivable Specialist managing claim payment issues for healthcare providers. Supporting timely reimbursement and resolving denials within a remote role.
About the role
Key responsibilities & impact- Accounts Receivable Specialist is responsible for following up directly with commercial, governmental, and other payers to resolve claim payment issues, to secure appropriate and timely reimbursement and response.
- 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.
Requirements
What you’ll need- 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.
- 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.
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical collectionsAR follow-updenialsappealscomplianceprovider relationsprofessional billingproblem solvingcritical thinking
Soft Skills
excellent verbal skillsadaptability