Accounts Receivable Specialist: Claims & Denials Follow-Up

Summit Health Management; Rocky Hill (CT); Presencial; USD 55.000 - 75.000; Jornada completa

Descripción de la vacante

VillageMD is seeking an Accounts Receivable Follow-Up specialist to manage unpaid and denied claims across Medicare, Medicaid, and commercial payers. You will track claims, perform denial management, and prepare appeals while ensuring accurate documentation in the billing system.

Qualifications include a High School diploma, 3-5 years in AR follow-up, excellent communication, and Epic knowledge preferred. Join a physician-led, patient-centric network focused on value-based care.

Formación

• High School diploma, GED or Equivalent required.
• 3-5 years AR follow-up or full revenue cycle experience.
• Excellent oral and written communication skills.
• Excellent organizational and multitasking skills.
• Team Player.
• Self-motivated independent worker.
• Previous experience in large Multi-Specialty Practice preferred.
• Epic knowledge preferred.
• CPC certification preferred.

Responsabilidades

• Claim Tracking: Check the status of unpaid or pending claims using payer websites, portals, or phone calls.
• Denial Management: Research and resolve claim denials or rejections by reviewing codes, contracts, and medical records.
• Apeills and Resubmissions: Write and submit appeal letters or correct claims to overturn denied claims and secure payment.
• Account Documentation: Write clear and concise notes in the billing software for every action taken on an account.
• Communication: Talk to insurance companies, patients, and internal departments to fix demographic or billing errors. Alert management to trends and issues needing escalation.
• Adjustment Requests: Identify and request adjustments to insurance and patient balances.
• Productivity/Quality: Ability to maintain productivity and quality as set based on department policies.
• Confidentiality: Ability to follow HIPPA guidelines and policies an maintain PHI integrity.
• Teamwork: Ability to work as a team player in department as well as with other departments as tasked/assigned.

Conocimientos

Excellent oral and written skills

Organizational skills

Multitasking

Team player

Self-motivated independent worker

Educación

High School diploma, GED or Equivalent

Herramientas

Epic knowledge

CPC certification

Descripción del empleo

VillageMD is seeking an Accounts Receivable Follow-Up specialist to manage unpaid and denied claims across Medicare, Medicaid, and commercial payers. You will track claims, perform denial management, and prepare appeals while ensuring accurate documentation in the billing system.

Qualifications include a High School diploma, 3-5 years in AR follow-up, excellent communication, and Epic knowledge preferred. Join a physician-led, patient-centric network focused on value-based care.