Account Receivable Specialist III #Full Time

61st Street Service Corporation; New York (NY); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking an Accounts Receivable Specialist III to join their dynamic team. This role is pivotal in managing complex billing cases and ensuring timely payments from insurance companies and patients. The ideal candidate will have a strong background in billing processes and excellent customer service skills. With a focus on professionalism and communication, you will navigate insurance contracts and assist in training new hires. This position offers the flexibility of remote work while requiring occasional office visits, making it an excellent opportunity for those in the Tri-State area.

Benefits

Healthcare Benefits

Paid Time Off

Flexible Work Environment

Qualifications

• Minimum 2 years in physician billing or third-party payor environment.
• Strong understanding of insurance benefits and billing requirements.

Responsibilities

• Handle complex accounts and pursue payment resolutions.
• Contact insurance companies and document claim issues.
• Assist with training support for new hires.

Skills

Customer Service

Insurance Navigation

Billing Compliance

Claim Processing

Education

High School Diploma or GED

Tools

Epic

Job description

Career Opportunities with 61st Street Service Corp

Current job opportunities are posted here as they become available.

Account Receivable Specialist III #Full Time

The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors’ practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties.

This position is primarily remote, candidates must reside in the Tri-State area.

Note: There may be occasional requirements to visit the office for training, meetings, and other business needs.

Job Summary:

The Accounts Receivable Specialist III is responsible for follow-up work to collect on all open and unpaid accounts with insurance companies and third parties. Responsibilities will include supporting unit supervisor and manager in assigned duties, assisting staff with complex cases, inquiring about unpaid claims, appealing denied claims with insurance companies, and contacting patients or account guarantor. The AR Specialist III must exhibit professional and courteous behavior at all times during communications.

Job Responsibilities:

• Handle complex and high-dollar cases/accounts.
• Determine resolution, research the root issue and pursue a course of appeal or follow-up to obtain payment.
• Address incoming correspondence and prepare correspondence to insurance companies, patient and/or guarantor.
• Contact insurance companies/patients/guarantors to obtain the status of outstanding claims and submitted appeals.
• Document claim issue and course of action taken.
• Elevate billing and collection problems to Supervisor as needed.
• Perform charge corrections.
• Review account history for third-party sponsorship.
• Assist supervisor/manager with any assigned functions.
• Assist with training support of new hires.
• Perform demographic/insurance coverage updates on the account and bill new insurance as appropriate.

Job Qualifications:

• High school graduate or GED certificate is required.
• A minimum of 2 years experience in a physician billing or third-party payor environment.
• Candidate must demonstrate the ability to understand and navigate contracts, insurance benefits, exclusions, and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations.
• Candidate must demonstrate strong customer service and patient-focused orientation and the ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process.
• Experience in Epic and or other electronic billing systems is preferred.
• Knowledge of medical terminology, diagnosis, and procedure coding is preferred.
• Previous experience in an academic healthcare setting is preferred.

Hourly Rate Ranges: $27.40 - $36.06

Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training, and education.

61st Street Service Corporation

At 61 st Street Service Corporation, we are committed to providing our clients with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive benefits package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.

We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.