Accounts Receivable Specialist

Evolving Solution Services; Nashville (TN); On-site; USD 29,000 - 34,000; Full time

Job summary

Evolving Solution Services in Nashville, TN is seeking an Accounts Receivable Specialist with medical coding responsibilities. You will assign ICD-10, CPT, and HCPCS codes, and manage AR activities to secure timely payments from insurers and patients.

The role requires 2+ years in medical coding/AR, HIPAA knowledge, and proficiency with EMR and billing software. Experience in healthcare revenue cycle is essential.

Qualifications

• Certification in Medical Coding required (AAPC/CPC/CCS or equivalent).
• 2+ years of medical coding and/or AR experience in healthcare.
• Knowledge of ICD-10, CPT, HCPCS coding systems.

Responsibilities

• Code diagnoses, procedures, and services with ICD-10, CPT, and HCPCS based on documentation.
• Manage accounts receivable processes: billing, follow-up, and posting payments.
• Resolve denied/failed claims with payers; maintain detailed communications for audits.

Skills

Medical coding knowledge

Attention to detail

Communication skills

Time management

Education

Medical Coding Certification (AAPC, CPC, CCS, or equivalent)

Tools

EMR systems

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Accounts Receivable Specialist

Full Time Nashville, TN, US

3 days ago Requisition ID: 1022

Salary Range: $21.00 To $25.00 Hourly

Medical Coder/Accounts Receivable Specialist

Job Description

Job Description:

The Medical Coder and Accounts Receivable (AR) Specialist is responsible for accurately assigning medical codes to diagnoses, procedures, and services provided by healthcare providers. In addition to coding duties, this role will handle accounts receivable functions, ensuring timely collection of payments from insurance companies and patients. The ideal candidate will possess strong knowledge of medical coding systems and healthcare revenue cycle processes, with a focus on maintaining compliance with regulations and optimizing revenue collection.

Daily Tasks:
1. Accurately assign appropriate ICD-10, CPT, and HCPCS codes to patient diagnoses, treatments, and procedures based on physician documentation.

• Ensure coding practices adhere to all relevant regulations, payer guidelines, and healthcare industry standards.
• Review and interpret clinical documentation to ensure proper coding of complex cases. Identify and correct coding errors and discrepancies to prevent claims denials and rejections.
• Collaborate with healthcare providers to clarify ambiguous or unclear documentation for accurate coding.
• Stay up to date with industry changes, including coding updates, billing regulations, and insurance requirements.

2. Accounts Receivable

• Monitor the AR process, ensuring timely and accurate billing and follow-up on unpaid claims.
• Review and review and resolve denied or rejected claims, working with insurance companies to appeal denials and secure payment.
• Post payments to patient accounts, ensuring accuracy and reconciling any discrepancies. Conduct regular follow-up on outstanding balances, contacting patients and insurance companies as needed to secure payment.
• Maintain detailed records of communication with insurance providers and patients for audit and reporting purposes.

3. Requirements

• Certification in Medical Coding (AAPC, CPC, CCS, or equivalent) required.
• 2+ years of experience in medical coding and/or AR within a healthcare setting. Knowledge of ICD-10, CPT, and HCPCS coding systems.
• Familiarity with healthcare billing processes and insurance claim submission requirements.
• Strong understanding of HIPAA and other relevant healthcare compliance regulations.
• Proficient in healthcare billing software and electronic medical records (EMR) systems.
• Excellent attention to detail and accuracy in coding and financial tasks.
• Strong organizational and time management skills, with the ability to prioritize tasks and meet deadlines.
• Effective communication skills, both written and verbal, for interacting with healthcare providers, patients, and insurance representatives.

Join our team as an Accounts Receivable Specialist where you will play a vital role in ensuring our financial operations run smoothly while contributing to the overall success of our organization.