Accounts Receivable Specialist
QualDerm Partners
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $18 - $32 per hour
About the role
- Ability to identify the cause of claim denials and resolve them, with minimal assistance.
- Analyze problems and report trends related to denials and payer trends.
- Follow up on unpaid claims within standard billing cycle timeframe.
- Prepare and submit corrected/replacement claims, reconsiderations, appeals, medical documentation and other necessary documents to payers via fax, provider portals, etc.
- Make outbound calls to payers to resolve claims and payment issues.
- Ensure the patient’s medical information is accurate and up to date.
- Meets productivity requirements as established by organization and external benchmarks.
- Provides necessary reporting and communication of any accounts receivable issues directly to the team lead.
- Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax.
- Provide team lead with administrative assistance when needed including assisting with internal/external audits.
- Maintains current knowledge in regards policies and guidelines for all payers.
- Adheres to Code of Conduct and Mission & Values Statement.
- In addition to the above job responsibilities, other duties and projects maybe assigned
Requirements
- High School graduate or equivalent.
- Education in medical billing or hold medical billing certification preferred.
- Mod Med/EMA practice management system experience is a plus.
- Understanding of basic principles of revenue cycle, accounts receivables, denial management and coding (CPT/HCPCS/ICD10).
- Must be highly professional and an effective communicator.
- Detail and results oriented, self-starter with a positive attitude
- Be able to multitask, prioritize, and manage time efficiently while in a remote working environment.
- Eagerness to learn and adapt quickly in a changing environment.
- Ability to maintain a high level of integrity and confidentiality of medical information
Benefits
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Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billingdenial managementcodingCPTHCPCSICD10accounts receivablesrevenue cycleclaim resolutiondata analysis
Soft Skills
effective communicationdetail orientedresults orientedself-starterpositive attitudemultitaskingtime managementadaptabilityintegrityconfidentiality
Certifications
medical billing certification