Accounts Receivable Specialist

Ascend Clinical; Colorado Springs (CO); On-site; USD 28,929 - 39,950; Full time

Benefits offered by this job

Medical coverage

Life and disability insurance

401(k) with company match

Paid holidays and vacation

Personal days

Dental and vision options

Job summary

Ascend Clinical in Colorado Springs, CO is seeking an Accounts Receivable Specialist to research, bill, and collect on patient accounts, perform eligibility checks, and resolve claim issues. This on-site role focuses on denial management, payer communications, and ensuring timely reimbursements.

The ideal candidate has medical billing, denial management and collections experience, strong problem-solving skills, and a commitment to HIPAA compliance.

Qualifications

• Medical billing, denial management and collections experience required.
• High degree of problem solving abilities required.

Responsibilities

• Responsible for all areas of the revenue management life cycle
• Ensures necessary information critical to submitting clean claims is obtained
• Perform eligibility and benefit checks
• Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence
• Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payer
• Reviews and interprets payer remittances to determine appropriate action to be taken on denied claims
• Identify root cause of claim exceptions; resolve and/or escalate issues
• Analyzes outstanding account balances and determines plan of action to resolve
• Determine and apply appropriate business action in absence of policies or in cases of ambiguity
• Identifies and interprets policies related to exceptions
• Contacts payers for status of unpaid claims
• Maintains knowledge/understanding of third party payer regulations for managed care, Medicare, and Medicaid accounts
• Maintains patient confidentiality according to compliance policies and HIPAA

Skills

Medical billing, denial management, &收

Job description

Accounts Receivable Specialist

Locations: Colorado Springs, CO

Job Summary:

The Accounts Receivable Specialist is responsible for researching, analyzing, billing, and collection of all patient accounts assigned. Performs routine eligibility and benefit checks. Researches, appeals, and resolves claim rejections, underpayments, and denials with appropriate payer. Medical billing, denial management and collections experience is required. This is an onsite role in our Colorado Springs office.

Responsibilities:

• Responsible for all areas of the revenue management life cycle
• Ensures necessary information critical to submitting clean claims is obtained
• Perform eligibility and benefit checks
• Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence
• Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payer
• Reviews and interprets payer remittances to determine appropriate action to be taken on denied claims
• Identify root cause of claim exceptions; resolve and/or escalate issues
• Analyzes outstanding account balances and determines plan of action to resolve
• Determine and apply appropriate business action in absence of policies or in cases of ambiguity
• Identifies and interprets policies related to exceptions
• Contacts payers for status of unpaid claims
• Maintains knowledge/understanding of third party payer regulations for managed care, Medicare, and Medicaid accounts
• Maintains patient confidentiality according to compliance policies and HIPAA

Qualifications:

• Medical billing, denial management and collections experience required
• High degree of problem solving abilities required

Compensation:

-$21-$29/hr

Benefits:

We offer comprehensive medical coverage, life and disability insurance, 401(k) with company match, paid holidays and vacation, personal days, and dental and vision options.

Ascend is an Equal Opportunity Employer - M/F/Disabled/Veteran

Ascend Clinical, LLC is committed to promoting an equal employment opportunity workplace environment and is an equal opportunity employer. It is the policy of the company that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, citizenship, pregnancy, genetic information (GINA), disability, military and/or veteran status, and/or any other status protected by applicable Federal, state, or local law. The company’s policy is to recruit, hire, train, promote and administer all employment-related matters on the basis of an individual's qualifications, abilities and efforts without regard to protected status.