Insurance Accounts Receivable Specialist III
Solaris Health
Accounts Receivable Specialist
Quick Med Claims, LLC
full-time
Posted on:
Location Type: Remote
Location: Remote • Pennsylvania • 🇺🇸 United States
Visit company websiteJob Level
Junior
About the role
- Make telephone calls to patients, hospitals, insurance companies, facilities, and attorneys as needed to research claims or obtain additional insurance information
- Contact insurance carriers to inquire about the status of past-due accounts
- Meet or exceed defined productivity and quality standards
- Document details of activity on each account in the claims processing system
- Follow up on self-pay accounts, including contacting patients by telephone to inquire about insurance coverage or establish payment plans
- Maintain workflow to keep aging accounts at a minimum by following up on unpaid claims daily
- Follow up on accounts that have reached collections to ensure they have been fully worked before referral to an external collection agency
- Follow up on any assigned special projects designated by the Manager
- Perform quality checks on assigned claims
- Maintain confidentiality regarding all assignments and adhere to QMC HIPAA privacy policies
- Perform job responsibilities according to company standards and state and federal guidelines
Requirements
- High School Diploma or equivalent required
- Minimum of 1 year of experience in healthcare claims processing, billing, or accounts receivable
- Hands-on experience preparing and submitting insurance appeals, including understanding remittance advices, payer denial codes, and payer timely filing limits
- Familiarity with ICD-10, HCPCS, and general medical terminology
- EMS billing experience strongly preferred; experience in other medical specialties will be considered
- Proficiency with various web platforms, including billing software and payer portals
- Prior customer service experience and ability to work collaboratively with other departments
- Basic computer knowledge and experience using Microsoft Office
- Demonstrated compliance with HIPAA and ability to maintain confidentiality
- Strong investigative and research skills
Benefits
- This position is 100% work from home.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
healthcare claims processingbillingaccounts receivableinsurance appealsremittance advicespayer denial codespayer timely filing limitsICD-10HCPCSmedical terminology
Soft skills
customer servicecollaborationinvestigative skillsresearch skillsconfidentialityadherence to guidelinesquality assuranceproductivitycommunicationproblem-solving
Certifications
High School Diploma or equivalent
