Accounts Receivable Specialist

Eskenazi Health; Indianapolis (IN); On-site; USD 38,000 - 56,000; Full time

Job summary

Eskenazi Health is seeking an Accounts Receivable Specialist for its Indianapolis-based facility. The role involves end-to-end claims lifecycle management, from submission and processing to denial resolution and payment follow-up.

You will interact with insurance carriers, review reports for trends, and collaborate with management to improve front-end accuracy and cash flow. The position requires a related degree and healthcare billing experience.

Qualifications

• Associate degree or technical training in coding or billing.
• Three years of experience in medical practice/hospital setting with billing, insurance follow-up and/or credit balance experience.
• Dental, Vision, Behavioral Health and/or DME billing experience a plus.

Responsibilities

• Submit and process claims, enter charges, and handle claim edits and denials.
• Perform accounts receivable follow-up and credit balance resolution.
• Communicate with insurance carriers by phone, email, fax, or website.
• Monitor payor guidelines and stay compliant with billing regulations.
• Support colleagues and cover shifts as needed.
• Investigate and resolve claim denials and rejections.

Skills

Attention to detail

Problem-solving

Communication skills

Independence

Microsoft Office

Education

Associate degree in business or related field

Tools

Billing software

Job description

Select how often (in days) to receive an alert:

We asked Dawn, CEO - Eskenazi Health Center:

Q

What do you enjoy most about your role with Eskenazi Health Primary Care and working with the community?

We asked Dawn, CEO - Eskenazi Health Center: Q What do you enjoy most about your role with Eskenazi Health Primary Care and working with the community? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Location: Indianapolis, IN, US

Organization: HHC

Sub-Division:Hospital

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 located throughout Indianapolis.

FLSA Status

Non-Exempt

Job Role Summary

The Accounts Receivable Specialist is responsible for maintaining the life of a claim which includes the following: Claims Submission and Processing, Charge Entry, Claim Edit, DNB, Stop Bills, Claim Rejection, Denial Management, Accounts Receivable Follow-up, No Response, Compliance and Billing Regulations, Variance, Correspondence and Credit Balance Resolution. The Accounts Receivable Specialist communicates with the insurance carriers to ensure appropriate and compliant payment of services via telephone, email, fax, payor website. This position reviews reports to determine trends and discusses with management to help resolve front-end errors, reviews and follows up on all claims not paid by carriers in a timely manner and claims not paid appropriately.

Essential Functions and Responsibilities

• Proactively contributes to Eskenazi Health’s mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County. Models Eskenazi Health values of Professionalism, Respect, Innovation, Development and Excellence.
• Assist customer service with follows up on patient calls within a timely manner
• Maintains department weekly production and monthly quality measures
• Communicates effectively and appropriately with internal and external customers
• Acts independently seeking guidance when necessary to remain compliant with federal, state, and hospital policies relative to insurance patient billing.
• Initiates proper course of action for problem solving resolution
• Analyzes all claim denials to determine the best course of action to resolve any issue and receive appropriate payment
• Verifies and updates claims with insurance and demographic information when changes are needed
• Resolves inquiries from internal and external customers
• Takes active role in special projects as requested
• Gathers and distributes insurance information obtained through verbal and/or written communication for the purpose of maintaining sufficient cash flow
• Analyzes and resolves issues reported from the self-pay outsource vendor
• Utilizes interpersonal communication strategies/skills to achieve desired outcome/results with patients/families and others
• Provides coverage for co-workers as necessary due to PTO/illness
• Continuing knowledge-based learning on payor guidelines and requirements for appropriate billing
• Enter daily charges for NTP clinic
• Works charge review in a timely and accurate manner to ensure appropriate billing of services
• Investigate and Resolves claim edits, rejections (internal/external), DNB, Stop Bills, follow up, variance, monitoring status of denials, denials, appeals, credit balance resolution and correspondence.
• Work queue management for better efficiency of work flows i.e. filters and rules.
• Follows up on unpaid claims with insurance companies.
• Initiate Billing/Charge Review resolution

Job Requirements

• Associate Degree in business-related field or technical training in coding and/or billing in lieu of
• Three years of experience in medical practice/hospital setting with billing, insurance follow-up and/or credit balance experience.
• Dental, Vision, Behavioral Health and/or DME experience a plus

Knowledge, Skills & Abilities

• Pays close attention to detail with accuracy in record keeping and documentation
• Identifies trends with denials (providers/locations/carriers) and works with management to help educate or resolve errors from the start and avoid back-end denials
• Willingness and ability to assist other team members
• Excellent problem-solving skills and ability to cooperate with others
• Works independently and efficiently
• Working knowledge of Microsoft Office Software, Windows
• Utilizes calculator, printers, copiers, and fax machines
• Strong organizational skills and ability to work efficiently in a high volume, multi-task environment meeting deadlines
• Uses professional and appropriate communication skills
• Advanced understanding of health insurance medical policy and billing requirements, including government and managed care programs as well as traditional Medicaid, Medicare replacement plans, commercial carriers, HIP, Anthem
• Ability to meet production and accuracy requirements outlined by department goals

Accredited by The Joint Commission and named as one of Indiana’s best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute , Eskenazi Health’s programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city’s primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the first verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.