Accounts Receivable Specialist II #Full Time #Remote

servcorphr; New Jersey; Hybrid; USD 34,000 - 46,000; Full time

Benefits offered by this job

Healthcare benefits

Paid time off

Job summary

61st Street Service Corporation, a leading healthcare administrative partner for ColumbiaDoctors in the Northeast, seeks an Accounts Receivable Specialist II. This largely remote role requires residing in the Tri-State area, with occasional on-site visits for training or meetings.

Opportunity to grow through a Revenue Cycle Career Ladder. Responsibilities include pursuing payments on open claims with insurers and third parties, appealing denied claims, and communicating with patients or

Qualifications

• High school diploma or GED required.
• At least 1 year of physician billing or third-party payor experience.
• Ability to explain insurance benefits, exclusions, denials, and payer adjudication.

Responsibilities

• Researches root issue of denial and pursues proper appeal or follow up to obtain payment.
• Reviews account history for continuous follow up.
• Addresses incoming correspondence and responds promptly; prepares correspondence to insurance companies, patients and guarantors as needed.
• Contacts insurance companies and/or patients to obtain status of outstanding claims and submitted appeals.
• Documents the issue and course of action clearly in the billing system for each account.
• Performs charge corrections based on payer and institutional policies.
• Updates demographics and insurance coverage on accounts and bills new insurance as appropriate.
• Performs other duties as assigned.

Skills

Customer service

Communication

Problem solving

Education

High school diploma or GED

Tools

Epic

Job description

Top Healthcare Provider Network

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 II 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

• Researches root issue of denial. Apply knowledge of payer policies to pursue proper course of appeal or follow up to obtain payment.
• Reviews account history for continuous follow up.
• Addresses incoming correspondence and respond timely to ensure prompt resolution. Prepares correspondence to insurance companies, patient and/or guarantor, as necessary.
• Contacts insurance companies and/or patient/guarantor through phone contact, correspondence, online portals and other approved means to obtain status of outstanding claims and submitted appeals.
• Documents clearly in billing system the claim issue and course of action taken on every account worked.
• Performs charge corrections based on payer and institutional policies.
• Performs demographic and insurance coverage updates on account as appropriate and bill new insurance as appropriate.
• Performs other job duties as assigned and required.

Job Qualifications

• High school graduate or GED certificate is required.
• A minimum of 1 years’ 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/electronic billing systems preferred
• Knowledge of medical terminology, diagnosis and procedure coding preferred
• Previous experience in an academic healthcare setting preferred

Hourly Rate Ranges: $24.76 - $33.17

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 61st Street Service Corporation, we are committed to providing our clients with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefits 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.