Healthcare Account Receivable Specialist ( Remote)

Talentify.io; United States; Remote; Full time

Job summary

An established industry player is seeking a detail-oriented professional to join their healthcare services team. In this role, you will be responsible for analyzing claim denials and collaborating with payers to ensure timely reimbursements. This position offers a chance to make a significant impact on improving processes within the revenue cycle management. You will thrive in a collaborative and inclusive environment, where your contributions will help reduce claim denials and enhance overall efficiency. With a comprehensive benefits package and opportunities for growth, this is an exciting opportunity for someone passionate about making a difference in healthcare.

Benefits

Comprehensive Benefits Package

401(k) Plan

Paid Parental Leave

Discretionary Annual Incentive Program

Paid Time Off

Qualifications

• 2-3 years of experience in healthcare revenue cycle management.
• Strong technical skills with proficiency in Excel and payer portals.

Responsibilities

• Perform root cause analysis for physician claim denials.
• Communicate with payers to resolve claim issues and secure reimbursement.

Skills

Healthcare Revenue Cycle Management

Problem-Solving Skills

Critical Thinking Skills

Verbal Communication

Written Communication

Education

Associate's Degree in Denial Management

Equivalent Experience

Tools

Excel

Payer Portals

Claims Clearinghouses

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:

1. Hourly rate between $18.00 - $21.63, depending on experience and qualifications
2. Eligible for a discretionary annual incentive program based on performance
3. Comprehensive benefits package including Medical, Dental, Vision, Life Insurance, and Paid Time Off
4. 401(k) plan with contributions and Paid Parental Leave
5. Opportunity to work in a collaborative and inclusive environment
6. Chance to make a significant impact on reducing claim denials and improving processes

What to Expect (Job Responsibilities):

1. Perform root cause analysis for physician claim denials and develop resolutions
2. Communicate directly with payers to resolve claim issues and secure timely reimbursement
3. Track and trend claim denials and underpayments to identify improvement initiatives
4. Document all activities accurately, including contact information and action taken
5. Collaborate with management to identify and address root causes of accounts receivable issues

What is Required (Qualifications):

1. 2-3 years of experience in healthcare revenue cycle management
2. Associate's degree or equivalent experience in denial management
3. Strong technical skills, including proficiency in Excel, Payer Portals, and Claims Clearinghouses
4. Exceptional problem-solving and critical thinking skills
5. Strong verbal and written communication skills to document actions and appeal letters effectively

How to Stand Out (Preferred Qualifications):

1. Experience with federal and state billing guidelines and reimbursement methodologies
2. Familiarity with National Correct Coding Initiative Edits (NCCI)
3. Demonstrated ability to analyze payment variances and underpayments

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