Remote AR Specialist — Hospital Billing & Denials Expert

Infinx; Oregon; Híbrido; USD 45.000 - 65.000; Tempo integral

Benefícios oferecidos por esta vaga

401(k) Retirement Savings Plan

Comprehensive Medical, Dental, and Vis

Paid Time Off

Paid Holidays

Pet Care Coverage

Employee Assistance Program (EAP)

Discounted services

Resumo da vaga

Ni2 Health, an Infinx Company, is seeking an AR Specialist to manage hospital billing and insurance follow-up for CAH services. This role focuses on timely claims submission, denial resolution, and collecting outstanding balances while complying with Medicare, Medicaid, and payer rules.

The ideal candidate has hospital billing experience, proficiency with MEDITECH and clearinghouses, strong communication, and the ability to work remotely with minimal supervision.

Qualificações

• High School Diploma or GED required.
• 3 years of hospital billing and/or accounts receivable follow-up.
• Experience with MEDITECH and Waystar preferred.
• Strong knowledge of Medicare, Medicaid, commercial payer requirements.
• Excellent written and verbal communication skills.

Responsabilidades

• Review and submit accurate hospital inpatient, outpatient, emergency department, observation, swing bed, and ancillary service claims.
• Verify claim accuracy prior to submission, including demographics, insurance coverage, authorizations, and coding completeness.
• Monitor electronic claim submissions and resolve claim edits and rejections.
• Utilize clearinghouse tools to identify and correct rejected claims promptly.
• Perform comprehensive follow-up on unpaid and underpaid insurance claims.
• Appeal denied claims according to payer guidelines and timely filing requirements.
• Monitor aging reports and prioritize accounts based on balance, payer, and filing deadlines.
• Maintain compliance with HIPAA privacy and security standards.

Conhecimentos

Hospital billing knowledge

Denial management

Payer follow-up

Payment posting

Microsoft Excel

Formação

High School Diploma or GED

Ferramentas

MEDITECH

Waystar

Microsoft Excel

Outlook

Descrição da vaga

Ni2 Health, an Infinx Company, is seeking an AR Specialist to manage hospital billing and insurance follow-up for CAH services. This role focuses on timely claims submission, denial resolution, and collecting outstanding balances while complying with Medicare, Medicaid, and payer rules.

The ideal candidate has hospital billing experience, proficiency with MEDITECH and clearinghouses, strong communication, and the ability to work remotely with minimal supervision.