Accounts Receivable Specialist (TEMPORARY, REMOTE)
Join to apply for the Accounts Receivable Specialist (TEMPORARY, REMOTE) role at CommUnityCare Health Centers.
Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow-up and resolution of outstanding insurance claims. The goal is to follow up on, investigate, and resolve claims submitted to insurance for payment, creating detailed notes to provide insight into the current status of each claim.
Please note that we currently hire candidates exclusively from the following states. Applicants outside these states will not be considered for employment at this time:
- Arizona
- Connecticut
- Florida
- Georgia
- Michigan
- North Carolina
- Ohio
- Texas
Essential Functions
- Contact insurance carriers daily to follow up on and collect past due amounts on outstanding medical claims, including denials or benefit changes.
- Maintain an accurate, up-to-date aging of assigned accounts, including AR analysis and follow-up.
- Stay educated on billing and medical policies for all payers.
- Have a working knowledge of In and Out of Network reimbursement processes/methodologies.
- Create and follow up on appeals to protest denials or incorrect payments.
- Review complex denials/tasks assigned by the payment posting team and resolve them, including refund requests, disputes, and appeals.
- Collaborate across RCM departments to resolve claims payment issues.
- Ensure compliance with all company policies, procedures, and organizational values.
- Work with the AR Supervisor to review and resolve open accounts.
- Perform other duties as assigned.
Knowledge, Skills, and Abilities
- Exceptional relationship-building and customer service skills.
- Proficiency in computer data entry, research, and information retrieval.
- Strong attention to detail, accuracy, and multitasking ability.
- Highly developed problem-solving skills.
- Professional and courteous communication with staff, payers, patients, and families.
- Leadership by example, ensuring compliance with regulations and organizational standards.
- Ability to promptly identify issues and report them to supervisors.
- Consistent and predictable attendance.
- Effective management of high-volume work and independent scheduling.
- Ability to monitor claims processing steps effectively.
Minimum Education
- High School Diploma or GED.
Minimum Experience
- At least 3 years managing Accounts Receivable and following up with payers.
- At least 1 year communicating effectively with insurance payers and internal teams.
- 3 years working with medical terminology, ICD10, CPT, HCPCS coding, and HIPAA.
- 2 years with data processing, Excel, Microsoft Office, and electronic medical records.
- 3 years working with various insurance payers and understanding their reimbursement policies.
- 3 years handling complex insurance issues, including payer assignment, EOB adjustments, and refunds.
Additional Details
- Seniority level: Mid-Senior level
- Employment type: Temporary
- Job function: Accounting/Auditing and Finance
- Industries: Hospitals and Healthcare
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