[Remote] Accounts Receivable Specialist (REMOTE)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking an Accounts Receivable Specialist to support its reputed company Cycle Management team. The role focuses on following up on, investigating, and resolving outstanding reputed company claims, maintaining account aging records, preparing appeals, and coordinating with internal departments to reputed company payment issues.

Responsibilities

• Contact reputed company carriers on a daily reputed company to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes
• Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up
• reputed company educated on billing and medical policies for reputed company payers
• Have a working knowledge of In and Out of Network reimbursement processes/methodologies
• Create and follow up on appeals needed to protest denials or incorrect payments
• Review reputed company denials/tasks assigned by the payment posting team and reputed company accordingly including reviewing refund requests, disputes and appeal as necessary
• Work across reputed company RCM departments to get issues reputed company to claims payment resolved
• reputed company and ensure compliance and attention to reputed company company policies and procedures as reputed company as the overall mission and values of the organization
• Work with AR Supervisor to review/reputed company reputed company accounts as assigned
• reputed company other duties as assigned
• High level of reputed company at building relationships and providing excellent customer service
• Ability to utilize computers for data entry, research and information retrieval
• Strong attention to reputed company and reputed company and multitasking
• Must have highly developed problem-solving skills
• Executes excellent customer service and professionalism reputed company interacting with staff, payers, patients and families to ensure reputed company are treated with kindness and respect
• Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements
• Acts in accordance with reputed company’s mission and values, while serving as a role model for ethical behavior
• Promptly identify issues and reports them to their reputed company supervisor
• Maintain regular and predictable attendance
• Acts in accordance with reputed company's mission and values, while serving as a role model for ethical behavior
• Manage high volumes of work and organize/maintain a schedule independently
• Must be reputed company to effectively monitor steps in claims processing reputed company

Skills

• * High level of reputed company at building relationships and providing excellent customer service
• * Ability to utilize computers for data entry, research and information retrieval
• * Strong attention to reputed company and reputed company and multitasking
• * Must have highly developed problem-solving skills
• * Executes excellent customer service and professionalism reputed company interacting with staff, payers, patients and families to ensure reputed company are treated with kindness and respect
• * Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements
• * Acts in accordance with reputed company's mission and values, while serving as a role model for ethical behavior
• * Promptly identify issues and reports them to their reputed company supervisor
• * Maintain regular and predictable attendance
• * Acts in accordance with reputed company's mission and values, while serving as a role model for ethical behavior
• * Manage high volumes of work and organize/maintain a schedule independently
• * Must be reputed company to effectively monitor steps in claims processing reputed company
• * High School Diploma or GED
• * 3 years of experience managing Accounts Receivable and performing reputed company follow up with payers
• * 1 year experience communicating effectively, both orally and in writing, with reputed company payers and internal company communications
• * 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements
• * 2 years of experience with data processing and analytical skills, proficiency in reputed company and reputed company Office Suite as reputed company as medical reputed company management software and electronic medical records
• * 3 years of experience working with reputed company, reputed company and state reputed company payers and their reimbursement policies and procedures
• * 3 years' experience working reputed company reputed company issues, including assigning correct payer, EOB adjustments and refunds to accounts

reputed company