Accounts Receivable Specialist

Health & Hospital of Marion County; Indianapolis (IN); On-site; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking an Accounts Receivable Specialist to join their dynamic team. In this pivotal role, you will manage the lifecycle of claims, ensuring timely billing and effective communication with insurance carriers. Your attention to detail and problem-solving skills will be essential as you analyze claim denials and work towards optimal resolutions. This position offers the opportunity to contribute to a mission-driven organization dedicated to serving vulnerable populations in Marion County. If you thrive in a fast-paced environment and are passionate about healthcare finance, this role is perfect for you.

Qualifications

• 3+ years of experience in medical billing and insurance follow-up.
• CPC Certification is a plus.

Responsibilities

• Maintain life of claims, including billing, charge entry, and follow-ups.
• Analyze claim denials and implement resolution strategies.
• Communicate with insurance carriers to ensure compliant payments.

Skills

Attention to Detail

Problem-Solving

Microsoft Office Proficiency

Organizational Skills

Understanding of Health Insurance Policies

Education

Associate Degree in Business or Technical Training

Job description

Division:

Eskenazi Health

Sub-Division:

Hospital

Req ID:

23338

Schedule:

Full Time

Shift:

Days

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus, including at a network of Eskenazi Health Center sites throughout Indianapolis.

FLSA Status:

Non-Exempt

Job Role Summary:

The Accounts Receivable Specialist may be responsible for maintaining the life of a claim, which includes tasks such as Initiate Billing, Charge Entry, Claim Edit, DNB, Stop Bills, Claim Rejection, Denial, Follow-up, No Response, Variance, Correspondence, and Credit Balance Resolution. The specialist communicates with insurance carriers via telephone, email, fax, and payor websites to ensure compliant payments. They review reports to identify trends, resolve front-end errors, and follow up on unpaid or improperly paid claims.

Essential Functions and Responsibilities:

• Contribute to Eskenazi Health’s mission: Advocate, Care, Teach, and Serve, especially for Marion County’s vulnerable populations. Demonstrate values of Professionalism, Respect, Innovation, Development, and Excellence.
• Assist customer service with patient call follow-ups in a timely manner.
• Maintain department weekly production and monthly quality metrics.
• Communicate effectively with internal and external customers.
• Act independently, seeking guidance when necessary to ensure compliance with policies and regulations.
• Analyze claim denials to determine best resolution strategies for appropriate payment.
• Verify and update insurance and demographic information on claims as needed.
• Resolve inquiries from internal and external customers.
• Participate in special projects as assigned.
• Gather and distribute insurance information to maintain cash flow.
• Address issues reported from the self-pay outsource vendor.
• Use interpersonal skills to achieve positive outcomes with patients, families, and others.
• Provide coverage for colleagues during PTO or illness.
• Continuously learn about payor guidelines and billing requirements.
• Enter daily charges for NTP clinic.
• Review charges timely and accurately for proper billing.
• Resolve claim edits, rejections, denials, credit balances, and correspondence.
• Initiate billing and charge review resolutions.

Job Requirements:

• Associate Degree in a business-related field or technical training in coding and/or billing, or equivalent experience.
• At least three years of experience in a medical practice or hospital setting with billing, insurance follow-up, and credit balance management.
• CPC Certification is a plus.
• Experience with Dental, Vision, Behavioral Health, and/or DME is a plus.

Knowledge, Skills & Abilities:

Attention to detail and accuracy in record keeping; ability to identify denial trends and collaborate with management to resolve errors; willingness to assist team members; excellent problem-solving skills; ability to work independently and efficiently; proficiency in Microsoft Office and other office equipment; strong math and organizational skills; comprehensive understanding of health insurance policies, billing requirements, and government programs; ability to meet departmental productivity and accuracy standards.

Eskenazi Health is accredited by The Joint Commission, recognized by Forbes as one of Indiana’s best employers, and awarded for community benefit by the Lown Institute. It is home to several specialized centers, including Indiana’s first adult Level I trauma center and the Sandra Eskenazi Mental Health Center.