Accounts Receivable Specialist (TEMPORARY, REMOTE)

CommUnityCare; Austin (TX); Remote; USD 40,000 - 65,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated professional to join their Revenue Cycle Management team. This role offers a unique opportunity to make a significant impact on claims resolution and customer satisfaction. With a focus on career growth, you will receive comprehensive training on billing and medical policies, ensuring you are equipped to handle complex insurance issues. Collaborate with a supportive team committed to ethical behavior and compliance while enhancing your skills in a collaborative environment. If you are passionate about making a difference in healthcare, this position is perfect for you.

Qualifications

• 3+ years managing Accounts Receivable with direct payer follow-up.
• Experience with medical terminology and coding (ICD10, CPT, HCPCs).

Responsibilities

• Contact insurance carriers daily for outstanding medical claims.
• Maintain accurate aging of assigned accounts and follow up on payments.
• Create and follow up on appeals for denied claims.

Skills

Accounts Receivable Management

Medical Terminology

ICD10 Coding

CPT Coding

HCPCs Coding

HIPAA Compliance

Excel Proficiency

Communication Skills

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Medical Practice Management Software

Electronic Medical Records

Job description

Employer Industry: Revenue Cycle Management in Healthcare

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Comprehensive training on billing and medical policies for all payers
- Supportive and collaborative work environment
- Chance to make a positive impact on claims resolution and customer satisfaction
- Work with a dedicated team committed to ethical behavior and compliance

What to Expect (Job Responsibilities):
- Contact insurance carriers daily to follow up on and collect past due amounts on outstanding medical claims
- Maintain accurate and up-to-date aging of assigned accounts, including accounts receivable analysis and follow-up
- Create and follow up on appeals needed to protest denials or incorrect payments
- Review complex denials and resolve issues related to payment, including refund requests and disputes
- Collaborate with all Revenue Cycle Management departments to address claims payment issues

What is Required (Qualifications):
- High School Diploma or GED
- Minimum of 3 years of experience managing Accounts Receivable with direct follow-up with payers
- 3 years of experience working with medical terminology, ICD10, CPT, HCPCs coding, and HIPAA requirements
- Proficiency in Excel and Microsoft Office Suite, along with experience in medical practice management software and electronic medical records
- 3 years of experience handling complex insurance issues, including payer assignments, EOB adjustments, and refunds

How to Stand Out (Preferred Qualifications):
- 1 year of effective communication experience, both orally and in writing, with insurance payers and internal company communications
- 2 years of experience with data processing and analytical skills

#Healthcare #RevenueCycleManagement #ClaimsResolution #CustomerService #CareerGrowth

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