Medical Accounts Receivable Specialist

Family Allergy & Asthma; Louisville (KY); On-site; USD 28,000 - 34,000; Full time

Job summary

Family Allergy & Asthma in Louisville, KY is seeking a Medical Accounts Receivable Specialist to manage healthcare AR across multiple payer types and states. You will investigate denials, submit appeals, and collaborate with care teams to optimize cash flow in a fast-paced specialty practice.

The ideal candidate has AR experience in healthcare, EMR proficiency, and strong communication skills to interact with patients and staff. This is a full-time, on-site role with standard weekday hours.

Qualifications

• High School Diploma or equivalent.
• 2+ years of Accounts Receivable experience, preferably in a healthcare setting.
• 2+ years of Electronic Medical Records (EMR) platform experience.
• Experience with Medicare, Medicaid, Dual, Commercial, Managed Care and Advantage plans in multiple states.

Responsibilities

• Understand and work with multiple carrier types in several states.
• Investigate denied or no response claims to determine denial reason and recovery path.
• Review payer policies and guidelines to support reconsiderations and appeals.
• Identify trends and communicate with leads to plan actions.
• Submit corrected claims, reconsiderations and appeals via portal, fax or secure email.
• Document research and actions on each claim (IMS).
• Coordinate with other departments via shared spreadsheets and follow up on cross communication.
• Perform other duties as assigned by department manager.

Skills

Effective communication

Fluent English

Reading and interpreting documents

Education

High School Diploma or equivalent

Accounts Receivable experience in healthcare

EMR platform experience

Experience with Medicare/Medicaid/DUAL/Commercial plans in multiple states

Tools

IMS

EMR system

Secure portal / email workflow

Job description

Job Title: Medical Accounts Receivable Specialist

Location: 139 S English Station Rd, Louisville, KY 40245

FLSA Status: Non-Exempt, Hourly

Travel: No

Work Schedule: Monday - Friday, 8:00 a.m. 5:00 p.m.

About Family Allergy & Asthma

Founded in 1979, Family Allergy & Asthma is one of the nation’s leading allergy and asthma practice groups, serving patients across Arkansas, Florida, Illinois, Indiana, Kentucky, Missouri, Ohio, Pennsylvania, and Tennessee. With more than 100 allergists, we are dedicated to delivering high-quality, patient-centered allergy and immunology care. Our comprehensive services include:

• Allergy and asthma evaluation and treatment
• Environmental, food, and drug allergy testing
• Pulmonary function testing
• High-risk food challenges
• Sublingual immunotherapy
• Aspirin desensitization
• Food immunotherapy

Position Summary

The Medical Accounts Receivable Specialist is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of the manager(s) and/or Director(s); respectfully interacts with all levels of staff; provides assistance, as needed, during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company’s core values.

Summary Of Duties And Responsibilities

• Understands and has experience with multiple carrier types (Medicare, Medicaid, Dual, Commercial, Managed Care and Advantage plans) in multiple states
• Research and investigate denied or no response claims to confirm reason for denial and best method of recovery
• Reviews payer policies and guidelines to support reconsiderations and appeals where needed
• Identifies trends and notifies leads and manager immediately to establish plan of action
• Submits corrected claims, reconsiderations and appeals via portal, fax or secure email using mail as last resort.
• Thoroughly documents research done and action take on each claim in IMS
• Communicates with other departments via shared spreadsheets and conducts regular follow-ups on cross communication
• Other relevant duties as assigned by department manager

Requirements

Abilities, Knowledge and Skills:

Effective Communication Skills To Include

• Ability to fluently speak and read English
• Ability to read and interpret documents such as safety rules, handbooks, policies, patient care plans and procedure manuals
• Ability to communicate effectively, verbally and written, with all levels of staff and patients

Required Education And Experience

• High School Diploma or equivalent
• 2 or more years of Accounts Receivable experience, preferably in a healthcare setting
• 2 or more years of Electronic Medical Records (EMR) platform experience
• Experience working with multiple carrier types such as Medicare, Medicaid, Dual, Commercial, Managed Care and Advantage plans in multiple states

Physical Demands

The physical demands described, here, are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the physical demands.

• While performing the duties of this job, the employee is regularly required to use hands to handle, or feel objects, tools, or controls; reach with hands and arms; and talk or hear.
• The employee frequently is required to stand, walk, stoop, kneel, crouch, reach, push, pull, bend and sit. On average, injection room or clinic staff may be standing or walking 80% of their shift.
• The employee must occasionally lift and/or move up to 30 pounds.
• Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
• Specific communication abilities required by this job include the ability to talk and hear in order to converse with others, discern, convey, express oneself, and exchange information.

Work Environment

• The noise level in the work environment is usually moderate; lighting is in the standard range.
• The employee is subject to infectious waste, potential exposure to allergens in concentrated forms, diseases and conditions.

EEO Compliance

All Family Allergy & Asthma divisions are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. Family Allergy & Asthma divisions are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At Family Allergy & Asthma and all our divisions, our Human Resources department and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at Family Allergy & Asthma and our divisions. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

Pay Transparency

To encourage pay transparency, promote pay equity, and proactively address regulations, Family Allergy & Asthma and all our divisions will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.