AR SPECIALIST

CHC Solutions, Inc.; Aston Township (PA); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive salary

Generous paid time off

Health, dental and vision insurance

Life, AD&D and long-term disability

Job summary

CHC Solutions, Inc. is seeking a Health Care Accounts Receivable Specialist for our Pittsburgh, PA (Robinson Township) office. You will verify insurance coverage, bill insurance, and pursue timely payments while upholding HIPAA standards.

Qualifications include Healthcare Administration credentials or related experience, with 1 year in healthcare AR; durable medical equipment knowledge preferred. Competitive benefits and growth opportunities are offered in a fast-paced team setting.

Qualifications

• Healthcare Administration certificate or bachelor’s degree or 2+ years of relevant work experience.
• At least 1 year of healthcare accounts receivable experience.
• Durable medical equipment or healthcare experience preferred.

Responsibilities

• Ensure accurate and timely payment for prescribed medical supplies through insurance.
• Review and reconcile underpaid claims to align with payer contracts and fee schedules.
• Correct and resubmit rejected claims using payer websites.

Skills

Typing speed

Computer skills

Word

Excel

Outlook

Education

Healthcare Administration certificate

Bachelor’s degree

2+ years relevant experience

Tools

Word

Excel

Outlook

Job description

CHC Solutions, Inc. is currently seeking a passionate Health Care Accounts Receivable Specialist to join our team in the Pittsburgh, PA (Robinson Township) office.Who We AreCHC Solutions, Inc. provides medical supplies to patients with a focus on outstanding customer service. We are headquartered near Pittsburgh, PA and have multiple locations throughout the Eastern United States.We receive an order from doctors and their staff, verify the products are covered by the patient’s insurance, the supplies are shipped to them, and we bill their insurance.Everything we do is about improving the patient experience. Caring is the difference.Your ResponsibilitiesAs an Accounts Receivable Specialist, you will be part of a dedicated team responsible for ensuring accurate and timely payment for prescribed medical supplies provided to patients through their insurance coverage.Your future position responsibilities will include the following.Comply with all government regulations and professional standards for patient care.Maintain a positive, empathetic and professional attitude with customers at all times.Review and reconcile underpaid claims to ensure payments match payer contracts and fee schedules.Apply correct write-off codes and report pricing discrepancies.Correct and resubmit rejected claims using payer websites.Track unprocessed claims and follow up with payers to ensure proper submission.Contact patients, physicians and internal teams to gather needed documentation.Identify non-reimbursable claims and apply appropriate write-off codes.Monitor outstanding accounts receivable and resolve unpaid claims.Escalate payer issues and submit appeals for denied or short-paid claims.Respond to patient billing inquiries in compliance with HIPAA and fair debt collection laws.Communicate professionally with other departments to support claim resolution.What You BringWhen you apply for this position, you will meet the following qualifications.Healthcare Administration certificate, bachelor’s degree or at least 2 years of relevant work experiencePossess one year of experience with health care accounts receivable or an equivalent educationDurable medical equipment or health care experience (preferred)Strong typing and computer skills, including Word, Excel and OutlookCommitted to high-quality, error-free workComfortable and effective working in fast-paced settingsOur BenefitsIf you join our team of dedicated professionals, we can offer you the following benefits.Competitive salaryGenerous paid time off (for full-time employees)Health, dental and vision insurance.Life, AD&D and long-term disability coverage.Opportunities to grow your skills and advance your career in health care.An inclusive workplace. CHC Solutions, Inc. is an Equal Opportunity Employer.Apply TodayReady to make a difference? Apply now and join a team that cares.