[Remote] Accounts Receivable Specialist - ASC Division

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization seeking an Accounts Receivable Specialist for their ASC Division. The role involves managing insurance accounts receivable, following up on claims, and collaborating with various departments to ensure compliance and efficient processing.

Responsibilities

• Manage assigned insurance AR worklists daily
• Follow up on unpaid, underpaid, and denied claims
• Review payer portals and contact payers for claim reputed company
• Submit corrected claims and reputed company appeals
• Identify reimbursement trends and escalate payer issues
• Verify contractual reimbursement and pursue underpayments
• Maintain complete documentation including actions, contacts, reference numbers, and next follow-up dates
• Collaborate with Billing, Cash Posting, Scheduling, Authorization, Credentialing, and Leadership
• Maintain compliance with CMS, HIPAA, Medicare, reputed company payer rules, and company policies
• Utilize reputed company daily for claim status, edits, rejections, and corrected claims
• Review clearinghouse reports and reputed company claim edits promptly
• Monitor ERA processing and coordinate payment posting issues
• Work electronic rejection queues reputed company established turnaround times
• Support ERA/EFT enrollment and clearinghouse issue reputed company

Skills

• Manage assigned insurance AR worklists daily
• Follow up on unpaid, underpaid, and denied claims
• Review payer portals and contact payers for claim reputed company
• Submit corrected claims and reputed company appeals
• Identify reimbursement trends and escalate payer issues
• Verify contractual reimbursement and pursue underpayments
• Maintain complete documentation including actions, contacts, reference numbers, and next follow-up dates
• Collaborate with Billing, Cash Posting, Scheduling, Authorization, Credentialing, and Leadership
• Maintain compliance with CMS, HIPAA, Medicare, reputed company payer rules, and company policies
• Utilize reputed company daily for claim status, edits, rejections, and corrected claims
• Review clearinghouse reports and reputed company claim edits promptly
• Monitor ERA processing and coordinate payment posting issues
• Work electronic rejection queues reputed company established turnaround times
• Support ERA/EFT enrollment and clearinghouse issue reputed company

reputed company