Medical Billing Specialist, Insurance Accounts Receivable
Solaris Health
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- The Insurance Accounts Receivable Specialist I is responsible for performing entry-level insurance billing and follow-up tasks to support timely and accurate reimbursement.
- This includes submitting claims, reviewing basic denials, and conducting follow-up on outstanding balances under supervision.
- The role focuses on learning workflows, applying standard procedures, and escalating more complex issues as needed.
- Perform billing-related tasks as assigned, including data entry, claim review, charge review, and accounts receivable follow-up.
- Focus on resolving entry-level insurance denials, such as those related to medical records, eligibility, and coordination of benefits (COB).
- Complete daily tasks within assigned work queues based on manager direction and established workflows.
- Utilize CBO Pathways, payer websites, billing systems, and training materials to determine appropriate actions for resolving unpaid or underpaid claims and authorizing procedures.
- Identify potential issues related to payer requirements, provider credentialing, or coding, and escalate to management as appropriate.
- Review reports to identify unpaid claims and potential revenue opportunities.
- Communicate effectively with providers, patients, coders, and other stakeholders to ensure accurate and timely claims processing.
- Adhere to departmental workflows, operational policies, compliance guidelines, and regulatory requirements, including FGP and patient confidentiality standards.
- Provide input on system edits, process improvements, policies, and billing procedures to support revenue cycle optimization.
- Participate in meetings and workgroups, complete all required training sessions, and actively seek additional training when needed.
- Read and apply policies and procedures to make informed decisions, coordinate functions with team members, and explain processes clearly to others.
- Make system corrections and resubmit claims as necessary to meet payer requirements.
- Performs other position related duties as assigned.
Requirements
- High school diploma or equivalent required.
- Previous experience in a customer service or healthcare setting preferred.
- Excellent interpersonal and communication skills.
- Strong customer service orientation and a friendly, approachable demeanor.
- Basic knowledge of medical facility layout and department functions (training provided).
- Dependability and punctuality.
- Ability to work independently and as part of a team.
- Cultural sensitivity and ability to interact respectfully with diverse populations.
- Skill in using computer programs and applications including Microsoft Office.
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Life Insurance
- Pet Insurance
- Health savings account
- Paid sick time
- Paid time off
- Paid holidays
- Profit sharing
- Retirement plan
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
insurance billingclaims submissionclaims reviewdata entryaccounts receivable follow-updenial resolutioncharge reviewpayer requirementscodingrevenue cycle optimization
Soft skills
interpersonal skillscommunication skillscustomer service orientationdependabilitypunctualityteamworkcultural sensitivityproblem-solvingattention to detailadaptability