Accounts Receivable Specialist
ThedaCare
full-time
Posted on:
Location Type: Remote
Location: Wisconsin • United States
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About the role
- Submits billing to the appropriate party and follows-up for adjudication and payment of individual claims
- Communicates with insurance and other payers, patients, guarantors, family members, and/or other medical staff for status of individual claims to manage accounts receivable
- Performs comparative analysis for accuracy of bill before submission to appropriate parties (i.e., charges, subscriber data, diagnosis/procedure codes, and late charges)
- Processes claims in a timely manner according to contracts, regulations, department standards, and form requirements
- Generates phone calls to all parties to check status of unprocessed, unpaid, or rejected claims ensuring accurate and timely reimbursement
- Processes variety of correspondence from all parties taking appropriate steps to expedite timely resolution of claims payment
- Verifies insurance/payer and patient demographic information for accuracy of data collected at time of registration when appropriate
- Inputs verification data to complete in-house claims generation of billing forms
- Re-bills accounts when new information is received requiring account updates with appropriate demographic and third party information to ensure payment
- Updates patient record to indicate changes made
- Reviews internal and external reports for claims status
Requirements
- High School diploma or GED preferred
- Must be 18 years of age
Benefits
- Lifestyle Engagement e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
- Access & Affordability e.g. minimal or zero copays, team member cost sharing premiums, daycare
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billingclaims processingcomparative analysisdata verificationaccount managementre-billingreport review
Soft Skills
communicationattention to detailproblem-solvingorganizational skills
Certifications
High School diplomaGED