Accounts Receivable Specialist

Flagship Specialty Partners; Whispering Oaks (NC); Sur place; USD 42 000 - 55 000; Plein temps

Avantages offerts par ce poste

401k with match

Eight paid holidays

Four weeks of vacation in first year

Résumé du poste

Flagship Specialty Partners seeks an Accounts Receivable Specialist for our Charlotte, NC practice. This clerical, full-time role focuses on processing insurance claims, coordinating with providers, patients, and insurance companies to optimize payments.

You will document activities in the practice management system, track denials, and assist with appeals while upholding HIPAA standards and contributing to a collaborative Revenue Cycle team.

Qualifications

• Minimum high school diploma or GED required.
• Bachelor's degree in Accounting or related field preferred.
• 2-3 years medical/dental office experience preferred.

Responsabilités

• Process and resolve insurance claims for services provided to patients.
• Document resolution activities in the practice management system.
• Communicate with insurance companies, patients, and providers.
• Assist with tracking payments and denials and draft appeals as needed.
• Maintain HIPAA privacy and security policies in daily work.

Connaissances

Attention to detail

Communication

Team collaboration

Formation

High school diploma/GED

Bachelor's degree in Accounting or related field

Outils

Practice management software

Description du poste

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

Business Office - NC Full Time Clerical Charlotte, NC, US

2 days ago Requisition ID: 2667

Become a valued team member for a dynamic, growing, fast-paced oral surgery practice where you are encouraged to learn and grow! Our world-class team includes highly skilled oral and maxillofacial surgeons dedicated to providing outstanding care and service to all of our patients.

We offer

• exceptional benefits, 401k (with match)
• eight paid holidays
• you accrue up to four weeks of vacation in your first year alone!

The Accounts Receivable Specialist plays a vital role in our organization as a liaison between Insurance Companies, Patients and our Practices. The Accounts Receivable Specialist supports the Flagship Practices by processing and resolving claims that have been submitted to Insurance Companies for services provided to our Patients. As a detailed-oriented professional, the Accounts Receivable Specialists monitors, documents resolution activities, and submits information necessary to generate Insurance Payments. This includes, but is not limited to, confirming the claims are received and on file for payment processing, sending medical records for proof of medical necessity, requesting payments, and submitting appeals to overturn denials.

• Resolves claims submitted to Insurance Companies utilizing Insurance Company portals/websites as well as Insurance Company
• contact/call centers to capture the status on claims and collects payments for services provided.
• Researches denied claims to determine next steps in claim resolution.
• Drafts appeal letters and submits additional information needed for Insurance Companies to process claims for payment.
• Tracks and communicate payment and denial trends.
• Documents claim resolution activities in the practice management system, detailing the movement towards resolution.
• Ensures all claims reviewed/processed are in correct account category in the practice management system.
• Reports on status of assigned accounts to Revenue Cycle Supervisor weekly/upon request.
• Completes ad hoc claim work lists assigned by Revenue Cycle Leadership.
• Communicates effectively with co-workers, insurance companies, Practices, Providers, and Patients.
• Maintains and promotes professional competence through continuing education and other learning experiences.
• Adheres to HIPAA Privacy and Security policies and procedures while performing job duties and responsibilities.
• Actively participates in Revenue Cycle Team meetings, voicing successes, barriers, and process improvement opportunities.
• Performs other duties as assigned.

Minimum Qualifications:

• High school diploma/GED

Preferred Qualifications:

• Bachelor's degree in Accounting or related field
• 2-3 years Medical and/or Dental Office experience