Accounts Receivable Specialist I #Full Time #Remote

61st Street Service Corporation; United States; Remote; USD 32,000 - 40,000; Full time

Job summary

61st Street Service Corporation is seeking an Accounts Receivable Specialist I to support ColumbiaDoctors, with a primary remote work arrangement for residents in the Tri-State area. Occasional office visits may be required for training and meetings.

The role focuses on follow-up to collect from insurance companies and third parties, handling denied claims, and communicating with patients or guarantors with a professional demeanor.

Qualifications

• High school graduate or GED certificate required.
• Minimum 6 months experience in physician billing or third party payor environment.
• Strong customer service and patient-focused orientation; able to explain insurance benefits, exclusions, denials, and payer adjudication.
• Experience in Epic or other electronic billing systems preferred.
• Knowledge of medical terminology, diagnosis and procedure coding preferred.
• Previous experience in an academic healthcare setting preferred.

Responsibilities

• Research root issue of denial and pursue appeals or follow up to obtain payment.
• Review account history for continuous follow up.
• Prepare correspondence to insurance companies, patients and guarantors as necessary.
• Contact insurance companies/patients/guarantors to obtain status of claims and appeals.
• Document claim issues for review.
• Escalate issues to Supervisor as appropriate.
• Perform demographic and insurance coverage updates on account and bill new insurance as appropriate.
• Perform other duties as required.

Skills

Customer service

Payer adjudication

Communication skills

Medical terminology

Epic

Electronic billing systems

Education

High school graduate or GED certificate

Tools

Epic

Electronic billing systems

Job description

Accounts Receivable Specialist I #Full Time #Remote

The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors’ practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties.

This position is primarily remote, candidates must reside in the Tri-State area.

Note: There may be occasional requirements to visit the office for training, meetings, and other business needs.

Opportunity to grow as part of a Revenue Cycle Career Ladder!

Job Summary:

The Accounts Receivable Specialist I is responsible for follow-up work to collect on all open and unpaid accounts with insurance companies and third parties. Responsibilities include inquiring about unpaid claims, appealing denied claims with insurance companies, and contacting patients or account guarantor. The Accounts Receivable Specialist I must exhibit professional and courteous behavior at all times during communications.

Job Responsibilities:

• Research root issue of denial. Pursue proper course of appeal or follow up to obtain payment.
• Review account history for continuous follow up.
• Address incoming correspondence. Prepare correspondence to insurance companies, patient and/or guarantor, as necessary.
• Contact insurance companies/patient/guarantor to obtain status of outstanding claims and submitted appeals.
• Document claim issue for review.
• Escalate issues and problems to Supervisor as appropriate.
• Performs charge corrections.
• Perform demographic and insurance coverage updates on account and bill new insurance as appropriate.
• Perform other job duties as required.

Job Qualifications

• High school graduate or GED certificate is required.
• A minimum of 6 months’ experience in a physician billing or third party payor environment.
• Candidate must demonstrate a strong customer service and patient focused orientation and the ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process.
• Experience in Epic and or other of electronic billing systems is preferred.
• Knowledge of medical terminology, diagnosis and procedure coding is preferred.
• Previous experience in an academic healthcare setting is preferred.

Hourly Rate Ranges: $23.56 - $28.85

Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.

61st Street Service Corporation

At 61 st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.

We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.