Medical Insurance Accounts Receivable Specialist (Remote - SC Local only)

Ob Hospitalist Group; Greenville (SC); Remote; USD 60,000 - 80,000; Full time

Job summary

Join a mission-driven organization as a Medical Insurance Accounts Receivable Specialist. In this role, you will be pivotal in ensuring timely collections and managing accounts receivable efficiently. Your expertise in insurance collections, particularly with Medicaid and other health plans, will be essential in reducing AR days and enhancing cash flow. This position offers a supportive work environment with a strong emphasis on culture, flexibility, and employee well-being. With competitive pay and a comprehensive benefits package, this opportunity is perfect for those looking to make a significant impact in the healthcare sector while enjoying a fulfilling work-life balance.

Benefits

Paid time off & holidays

Medical, dental, and vision insurance

Health Savings Account options

Employer Paid Life and AD&D Insurance

Short- and Long-Term Disability

Paid Parental Leave

401(k) Savings Plan

Legal Plan

Identity Theft Services

Mental health support

Qualifications

• Experience in insurance collections, especially Medicaid and Managed Care.
• Strong knowledge of billing procedures and claims processing.

Responsibilities

• Achieve reduction of AR days and increase cash collections.
• Research accounts and respond to billing vendor inquiries.

Skills

Insurance Collections

Knowledge of Medical Terminology

Organizational Skills

Attention to Detail

Computer Skills

Education

High School Diploma or equivalent

Tools

Medical Billing Software (EPIC, Allscripts, McKesson)

Microsoft Word

Microsoft Excel

Job description

Medical Insurance Accounts Receivable Specialist (Remote - SC Local only)

Job Category: Clerical/Administrative

Requisition Number: PATIE001691

Posted: January 16, 2025

Job Type: Full-Time

Location

Corporate HQ
777 Lowndes Hill Rd
Building 1
Greenville, SC 29607, USA

Position Summary:

Responsible for achieving and maintaining reduction of AR days, growth in net collections, reduction in percent of AR greater than 120 days and an increase in cash collected.

Key Responsibilities:

• Account research by contacting and responding to requests from billing vendor and payers for verification of patient claim status and/or demographic information.
• Prioritize workload based on aging reports, account balance, and priority accounts under the direction of management.
• Pursue non-payment from third party payors until resolved.
• Strong knowledge of third party payor rules and guidelines, especially State Medicaid plans.
• Ensure all Protected Health Information is kept in a secure location at all times.
• Maintain a consistent processing and low error rate.
• Collect and forward updates to billing vendor as needed.
• Respond to RAI’s from billing vendor and instruct on next steps.
• Resolve claim errors, demographic issues, duplicates, and no coverage errors in work queues.
• Perform other duties as assigned.
• Experience with insurance collections Medicaid, Managed Care, BCBS, and Commercial accounts.
• Knowledge of billing procedures, health plans, and claims processing.
• Strong organizational skills and attention to detail.
• Strong computer skills, proficient in Word, Excel, and Medical Billing Software (EPIC, Allscripts, McKesson, etc).
• A minimum of a High School Diploma or equivalent.

Preferred Skills/Credentials/Experience/Education

• Understanding of medical terminology to include knowledge of ICD-9 and CPT.
• Preferred multi-state, multi-location billing experience.
• Strong computer skills, proficient in Word and Excel.

Mental and Physical Demands (per ADA guidelines)

Physical Demands:

• Sitting for long periods of time. Occupation requires this activity more than 66% of the time (2.6+ hrs/day).

Travel Demands:

• May require occasional travel to offsite meetings.

Compensation:

Hourly, Nonexempt Position Compensation: $20 - $23 per hour

What We Offer - The Good Stuff:

• A mission-based company with an amazing company culture.
• Paid time off & holidays so you can spend time with the people you love.
• Medical, dental, and vision insurance for you and your loved ones.
• Health Savings Account (with employer contribution) or Flexible Spending Account options.
• Employer Paid Basic Life and AD&D Insurance.
• Employer Paid Short- and Long-Term Disability.
• Optional Short Term Disability Buy-up plan.
• Paid Parental Leave (starting June 1, 2024).
• 401(k) Savings Plan, with ROTH option.
• Legal Plan.
• Identity Theft Services.
• Mental health support and resources.
• Employee Referral program – join our team, bring your friends, and get paid.