Remote AR Specialist - Medical Billing

Crossroads Treatment Centers; United States; Remote; USD 40.000 - 65.000; Vollzeit

Benefits dieser Stelle

Medical, Dental, Vision Insurance

401K with match

Annual CE Allowance

Mileage reimbursement

Zusammenfassung

Crossroads Treatment Centers is seeking an AR Specialist to join our billing team in the United States. The role focuses on resolving aged receivables, analyzing payer contracts, and ensuring accurate coding.

You will work with various payer types, prepare denial appeals, and maintain compliance with regulatory guidelines. A minimum of 2 years AR experience in a physician office and knowledge of HCPCS, CPT-4, and ICD-10 are required.

Qualifikationen

• Must have 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.
• Mileage reimbursement and company benefits are offered.

Aufgaben

• Resolve accounts receivable by working varied account types including professional, government, and non-government claims.
• Analyze patient accounting information and take appropriate actions for payment resolutions.
• Communicate with payer resources via websites, portals, email, and phone to resolve issues.
• Identify coding and billing concerns by reviewing claims data and supporting documentation.
• Prepare appeal letters for denials and track appeal resolutions.
• Identify denials trends, root causes, and A/R impact.

Kenntnisse

Accounts Receivable

Payer contracts

Medical billing

Denials management

HCPCS knowledge

Ausbildung

High School Diploma or GED

Jobbeschreibung

Specialize in patient AR, secure yours. Get up to $500 debt reduction now.

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 AR Specialist

• Performs all duties and responsibilities in accordance with local, state, and federalregulations and company policies.

• Utilize and apply industry knowledge to resolve new and aged accounts receivables by workingvarious account types, including but not limited to professional claims, governmental and/ornon-governmental claims, denied claims, aged accounts, high priority accounts, high dollaraccounts, reimbursements, credits, etc.

• Leverage available resources and systems (both internal and external) to analyze patientaccounting information and take appropriate action for payment resolutions, document all activityin accordance with organizational and client policies.

• Communicate professionally (in all forms) with payer resources to include websites/payerportals, e- mail, telephone, customer service departments, etc.

• Maintain quality and productivity results at a level that meets departmental standards asmeasured by a daily/weekly/monthly average.

• Reviews claims data and supporting documentation to identify coding and/or billingconcerns.

• Ability to interpret payer contracts and identify contract variances affectingreimbursement.

• Utilize knowledge of the cash posting processing to obtain the necessary information to resolvemisapplied payments.

• Demonstrate clear proficiency in third-party billing requirements to include federal, state, andcommercial/managed care payers.

• Interpret claim scrubber edits/rejections and takes appropriate action necessary to resolveissues.

• 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.

• Have a daily impact on many lives.

• Excellent training if you are new to this field.

• Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate.

• Community events that promotes belonging and education. Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events.

• Opportunity to save lives everyday!

Benefits Package

• Medical, Dental, and Vision Insurance

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

• Annual Continuing Education Allowance (in related field)

We like the way you work it · no gig iddy · Gotta bag it up · no gig iddy ·

We like the way you work it · no gig iddy · Gotta bag it up · no gig iddy ·