Accounts Receivable Specialist

Konsus, Inc. (Superside); United States; Remote; USD 50,000 - 70,000; Full time

Job summary

A leading company is seeking an experienced Accounts Receivable Specialist to join their remote team. In this role, you will handle claim denials, draft appeals, and utilize your knowledge of medical terminology and billing guidelines to ensure accurate reimbursement. Ideal candidates should have strong analytical skills and proficiency in Excel.

Qualifications

• 2-3 years of experience in revenue cycle management (RCM), specifically in collections.
• Experience in writing appeals and understanding the appeals process.
• Strong knowledge of CPT codes and diagnosis codes.

Responsibilities

• Resolve physician claim denials through root cause analysis and follow up for reimbursement.
• Examine denied claims, drafting and submitting appeals as necessary.
• Document all activities accurately and maintain knowledge of billing regulations.

Skills

Analytical skills

Proficiency in Excel

Knowledge of medical terminology

Job description

A company is looking for an Accounts Receivable Specialist (remote).

Key Responsibilities

• Resolve physician claim denials through root cause analysis and follow up with payers for timely reimbursement
• Examine and analyze denied and underpaid claims, drafting and submitting technical appeals as necessary
• Maintain knowledge of regulations and payer-specific requirements while documenting all activities accurately

Required Qualifications

• 2-3 years of experience in revenue cycle management (RCM), specifically in collections
• Strong knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes
• Experience in writing appeals and understanding the appeals process
• Exceptional analytical skills and proficiency in Excel for detailed reporting
• Knowledge of state and federal billing guidelines and reimbursement methodologies