Remote Accounts Receivable Specialist

Crossroads Treatment Centers; Greenville (SC); Remote; USD 40,000 - 60,000; Full time

Job summary

A leading healthcare provider is seeking a Remote Accounts Receivable Specialist to manage billing and collections for a diverse patient base. The role involves resolving accounts receivables, ensuring compliance with regulations, and maintaining quality standards. Candidates must have experience in a physician office setting and a strong understanding of medical coding. This fully remote position requires one week of in-office training in Greenville, SC, and offers comprehensive benefits.

Benefits

Medical, Dental, and Vision Insurance

PTO

401K options with match program

Annual Continuing Education Allowance

Life Insurance

Short/Long Term Disability

Paid maternity/paternity leave

Mental Health Day

Calm subscription for all employees

Qualifications

• At least 2 years accounts receivable experience in a physician office setting.
• General knowledge of HCPCS, CPT-4, and ICD-10 coding.

Responsibilities

• Resolve new and aged accounts receivables across various account types.
• Communicate with payer resources for payment resolutions.
• Analyze accounts and identify denials trends.

Skills

Accounts Receivable

Communication

Critical Thinking

Education

High School Diploma/GED

Job description

Remote Accounts Receivable Specialist page is loaded

Remote Accounts Receivable Specialist

Apply remote type Remote locations Greenville, SC time type Full time posted on Posted Yesterday job requisition id R-103623

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

Day in the Life of an Accounts Receivable Specialist

• Performs all duties and responsibilities in accordance with local, state, and federal
  regulations and company policies.
  • Utilize and apply industry knowledge to resolve new and aged accounts receivables by working
  various account types, including but not limited to professional claims, governmental and/or
  non-governmental claims, denied claims, aged accounts, high priority accounts, high dollar
  accounts, reimbursements, credits, etc.
  • Leverage available resources and systems (both internal and external) to analyze patient
  accounting information and take appropriate action for payment resolutions; document all activity
  in accordance with organizational and client policies.
  • Communicate professionally (in all forms) with payer resources to include websites/payer
  portals, e- mail, telephone, customer service departments, etc.
  • Maintain quality and productivity results at a level that meets departmental standards as
  measured by a daily/weekly/monthly average.
  • Reviews claims data and supporting documentation to identify coding and/or billing
  concerns.
  • Ability to interpret payer contracts and identify contract variances affecting
  reimbursement.
  • Utilize knowledge of the cash posting processing to obtain the necessary information to resolve
  misapplied payments.
  • Demonstrate clear proficiency in third-party billing requirements to include federal, state, and
  commercial/managed care payers.
  • Interpret claim scrubber edits/rejections and takes appropriate action necessary to resolve
  issues.
  • Seek resolution to problematic accounts and payment discrepancies.
  • Prepare appeal letters for technical denials by accessing specific payer appeal forms,
  submitting appropriate medical documentation, and tracking appeal resolution.
  • Analyze accounts with critical thinking; consider payer contracts and billing guidelines to ensure one- touch resolution.
  • Further responsibilities may include reviewing insurance credit balances to determine root cause and take the steps necessary to resolve the account.
  • Identify denials trends, root cause, and A/R impact.
  • Serve as a resource to other team members and assist Team Leads with identifying A/R and denials trends.
  • Other Duties as Assigned.

Education and Experience Requirements

• • Must have had at least 2 years accounts receivable experience in a physician office setting.
  • General Knowledge of HCPCS, CPT-4 and ICD-10 coding and/or medical terminology.
  • Familiar with multiple payer requirements and regulations for claims processing.
  • Must have a High School Diploma/GED.

Hours and Schedule

Expected hours for this role are 40 hours per week. Position is fully remote but requires one week of in-office training in Greenville, SC Support Center.

Monday - Friday schedule; candidates may start between 7 AM and 9 AM EST

Position Benefits

• Medical, Dental, and Vision Insurance

• PTO

• Variety of 401K options including a match program with no vesture period

• Annual Continuing Education Allowance (in related field)

• Life Insurance

• Short/Long Term Disability

• Paid maternity/paternity leave

• Mental Health Day

• Calm subscription for all employees

About Us

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Our Story

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia.

Our Mission Is Focused:

We exist to improve health equity in order to create superior outcomes.

Our Vision Is Clear:

To provide the most convenient, comprehensive, high-quality care through specialty medical homes.

Our Culture Is Inspiring:

Our culture is based on one simple tenet: we would treat others as we would like to be treated – with respect and empathy. We pride ourselves on how we serve our patients. Our INSPIRE culture sets us apart in how we interact not just with patients, but with our communities and each other on a day-to-day basis.