Accounts Receivable Specialist

Marion County Public Health Department; Indianapolis (IN); On-site; USD 40,000 - 70,000; Full time

Job summary

Join a forward-thinking organization dedicated to serving the community as an Accounts Receivable Specialist. In this pivotal role, you will manage the lifecycle of claims, ensuring timely and compliant payment for services rendered. Your expertise in medical billing and insurance follow-up will be crucial in addressing claim denials and collaborating with management to enhance operational efficiency. This innovative firm values professionalism and excellence, providing you with the opportunity to grow while making a significant impact on the health of vulnerable populations in Marion County.

Qualifications

• 3+ years of experience in medical billing or insurance follow-up.
• Attention to detail and accuracy in record-keeping.

Responsibilities

• Maintain the lifecycle of claims including billing and charge entry.
• Communicate with insurance carriers to ensure payment compliance.

Skills

Medical Billing

Insurance Follow-up

Problem-solving

Attention to Detail

Communication Skills

Organizational Skills

Education

Associate Degree in Business or Technical Training

Tools

Microsoft Office

Job description

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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 a network of Eskenazi Health Center sites throughout Indianapolis.

FLSA Status

Non-Exempt

Job Role Summary

The Accounts Receivable Specialist is responsible for maintaining the lifecycle of claims, including 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 appropriate and compliant payment of services. They review reports to identify trends, discuss issues with management, and follow up on unpaid or improperly paid claims in a timely manner.

Essential Functions and Responsibilities

• Contribute to Eskenazi Health’s mission: Advocate, Care, Teach, and Serve, especially focusing on Marion County’s vulnerable populations. Uphold values of Professionalism, Respect, Innovation, Development, and Excellence.
• Assist customer service with patient call follow-ups promptly.
• Maintain departmental weekly production and monthly quality metrics.
• Communicate effectively with internal and external stakeholders.
• Work independently, seeking guidance as needed to stay compliant with federal, state, and hospital policies related to insurance and patient billing.
• Take initiative in problem-solving and resolution processes.
• Analyze claim denials to determine the best course of action for resolution and payment collection.
• Verify and update insurance and demographic information on claims as needed.
• Address inquiries from internal and external customers.
• Participate in special projects as assigned.
• Gather and distribute insurance information to maintain cash flow.
• Resolve issues reported by the self-pay outsource vendor.
• Use interpersonal skills to achieve desired outcomes with patients, families, and colleagues.
• Provide coverage for colleagues during PTO or illness.
• Continue learning about payor guidelines and billing requirements.
• Enter charges for NTP clinics daily.
• Review charges timely and accurately for proper billing.
• Resolve claim edits, rejections, DNB, Stop Bills, variances, 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 medical billing, insurance follow-up, or credit balance management in a hospital or practice setting.
• Experience with Dental, Vision, Behavioral Health, and 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 address errors proactively. Willingness to assist team members. Strong problem-solving, organizational, and communication skills. Proficiency in Microsoft Office and familiarity with health insurance policies, including government programs and managed care. Ability to meet productivity and accuracy standards.

Eskenazi Health is accredited by The Joint Commission, recognized as one of Indiana’s best employers by Forbes, and the top hospital in Indiana for community benefit by the Lown Institute. Our programs have received national recognition, and we offer innovative healthcare opportunities to our community. We are the primary EMS provider in Indianapolis, home to Indiana's first adult Level I trauma center, the only verified adult burn center, and the Sandra Eskenazi Mental Health Center, Indiana’s first community mental health center.