Remote Medical Specialist - Accounts Receivable | WFH

Job Overview

We are on the lookout for a meticulous and results-driven Medical Accounts Receivable Specialist to join our esteemed team in a remote capacity. In this pivotal role, you will be instrumental in facilitating timely collections, resolving claims with precision, and preserving accurate financial documentation. Your collaboration with insurance providers, patients, and internal stakeholders will be crucial in optimizing revenue streams and ensuring adherence to industry billing standards.

Key Responsibilities
?? Manage the entire billing cycle, from the initiation of claims to the resolution of complex denial cases.
?? Tackle intricate claims by handling follow-ups, appeals, and adjustments to credit balances, ensuring prompt and accurate reimbursements.
?? Conduct proactive investigations to resolve outstanding payments, claim denials, and billing discrepancies by scrutinizing medical records, coding, and payer agreements.
?? Draft persuasive appeal letters and advocate effectively for claim reversals, ensuring compliance with billing protocols and regulations.
?? Review daily clearinghouse rejections, identify patterns, and implement corrective measures to enhance the efficiency of claim submissions and processing.
?? Maintain comprehensive and accurate financial records for all patient accounts, ensuring meticulous documentation of every account activity.
?? Collaborate with healthcare providers to acquire necessary documentation for timely claims processing.
?? Manage claims across various payer types, including Commercial, Medicare, Medicaid, and Managed Care.
?? Prioritize aging accounts and navigate the denial and appeal processes while achieving key performance metrics.
?? Foster strong relationships with insurance entities, patients, and healthcare providers to address billing challenges and ensure accurate claim submissions.

Required Skills
?? Excellent analytical and problem-solving abilities.
?? Profound understanding of medical terminology.
?? Proficiency in ICD-10 and CPT coding.
?? Prior experience with EPIC systems is preferred.

Qualifications
?? Bachelor's Degree or equivalent relevant experience.
?? A minimum of two years of experience in medical accounts receivable.

Career Growth Opportunities

We are devoted to nurturing the professional advancement of our team members, providing pathways for continuous learning and growth in the medical billing sector.

Company Culture And Values

Our organization champions a culture of collaboration and commitment, emphasizing a team-oriented environment where each member plays a vital role in optimizing the billing process. We seek detail-oriented individuals with a proactive mindset who thrive in solving complex billing challenges.

Employment Type: Temporary

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