Accounts Receivable Specialist

Maric Healthcare; United States; Remote; USD 54,000 - 75,000; Full time

Job summary

Maric Healthcare is seeking an Accounts Receivable Specialist to handle insurance collections and claims processing. This role requires a minimum of two to four years of experience, proficiency in relevant billing procedures, and the ability to manage a high volume of claims timely and accurately. As an entry-level position, the specialist will contribute to maintaining financial operations in the mental health care industry while ensuring compliance with HIPAA regulations.

Qualifications

• Minimum 2-4 years experience in insurance collections for claims adjudication.
• Familiarity with CPT and ICD-10 coding.
• Understanding of Commercial, Medicare, Medicaid, and third-party billing processes.

Responsibilities

• Manage a portfolio of treatment centers and contact insurance companies for claims.
• Document all collection activities and resolve discrepancies.
• Maintain patient confidentiality per HIPAA regulations.

Skills

Communication

Problem-solving

Multi-tasking

Teamwork

Tools

Computer systems and software

Job description

Join to apply for the Accounts Receivable Specialist role at Maric Healthcare.

Job Description: Accounts Receivable Specialist with a minimum of two to four years’ experience in insurance collections for claims adjudication. Will manage a portfolio of assigned treatment centers and contact insurance companies for claims processing in a timely manner. The Specialist is expected to work a minimum of 50 to 65 claims per day.

Remote Position.

Responsibilities include: Telephone contact with insurance carriers and their web portals for claims resolution, problem-solving on claim denials, claims resubmission, corrections, and appeals. Accounts must be worked accurately per office standards, with daily queue management and adherence to HIPAA confidentiality.

Essential duties:

• Understanding of Commercial, Medicare, Medicaid, and third-party billing processes.
• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other third-party payers.
• Effective communication for resolving issues via phone with insurance payers.
• Document all collection activities.
• Review explanations of benefits for correct payments based on fee schedules.
• Research and resolve discrepancies, denials, and appeals with patience and professionalism.
• Review claims before closing adjustments.
• Familiarity with CPT and ICD-10 coding.
• Proficient in using computer systems and software.
• Ability to work well in a team, delegate tasks, and handle conflicts reasonably.
• Multi-tasking skills.
• Maintain patient confidentiality per HIPAA regulations.

Additional Information:

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Accounting, Auditing, and Finance
• Industry: Mental Health Care

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Salary range in the United States: $54,000 - $75,000 (posted 5 days ago).