Accounts Receivable Specialist

About the role

The Accounts Receivable Specialist plays a crucial role in supporting PHRS's mission, vision, and customer service philosophy. They interact with physicians, patients, and insurance vendors to manage outstanding claims and incomplete payments.

Responsibilities

• Supports the investigation and resolution of outstanding claims and incomplete payments.
• Provides first-level customer support for billing services, including answering phones and researching patient account issues.
• Completes patient billing and investigates daily denials by working with insurance vendors and adjusters to resolve problem accounts and re-file open claims.
• Maintains proficiency and appropriate level of knowledge with all systems required for task completion.
• Ensures compliance with all state and federal billing regulations, including HIPAA, and reports any suspected compliance issues.
• Works with the RCM management team to improve processes, increase accuracy, create efficiencies, and achieve PHRS's goals.

Requirements

• Minimum 2 years of experience in medical billing or a related field.
• Knowledge of government and managed care payment methodologies.
• CPT, ICD-9, and HCPCS coding knowledge preferred.
• Ability to establish and maintain effective working relationships with patients, physicians, client practice staff, and co-workers.
• Experience in one or more of the following billing software platforms: EPIC; Ideal; Allscripts; Centricity; Acumen-Epic; iSalus; Athena.
• Experience in one or more of the following specialties: Nephrology; OB/GYN; Gastroenterology; Internal Medicine; Long Term Care.

Qualifications

• High School diploma or equivalent.
• Associates Degree or higher in Medical Billing and Coding or a related field preferred.
• Must have at least 2 years of prior billing experience in a physician practice medical billing environment.

Skills

• Knowledge of business office procedures.
• Verbal and written communication skills.
• Proficiency in communication using Teams, Zoom, or Webex.

Benefits

• Medical, Dental, Vision, STD, LTD, HSA (as applicable with Employer contribution).
• 401k Plan with employer match.

Pay

$20 per hour, starting salary dependent on experience.

Schedule

Remote work option available. Works approximately one time every six weeks until 6:00 PM EST in rotation with other AR Specialists.