Accounts Receivable Specialist
About the role
The Accounts Receivable Specialist will respond to inquiries from insurance carriers, pursue reimbursement, coordinate third-party collections, and resolve uncollected accounts. They will also identify and respond to patterns of denials or billing practices, perform complex account investigations, and appeal carrier denials.
Responsibilities
- Respond to inquiries from insurance carriers, via telephone, email or fax, demonstrating high-level customer service.
- Pursue reimbursement from carriers by placing phone calls and recording all contacts in an electronic tracking system to ensure progress on outstanding accounts.
- Cookordinate third party collections and work towards the successful reduction in outstanding balances for assigned divisions or projects.
- Identify and respond to patterns of denials or billing practices and perform complex account investigation as needed to achieve resolution.
- Review and resolve uncollected accounts and prepare charge corrections.
- Appeal carrier denials through review of coding, contracts, and medical records.
- Verify patient benefit eligibility/coverage and research ICD-10 diagnosis and CPT treatment codes as needed.
- Advise management of any trends regarding insurance denials in an effort to identify problems with particular payers.
- Complete required reports and assist with special projects as assigned.
Requirements
Requires a high school diploma and a minimum of 1-2 years hands-on experience in a fast-paced medical billing environment. Must have previous experience in a healthcare setting. Familiarity with CPT and ICD-10 is required; CPC certification is a plus.
Qualifications
Strong communication skills and attention to detail are necessary. Must have solid PC and application skills. The ability to handle a very high volume of work with speed and accuracy is essential. Proven ability in collections and negotiation is highly preferred. The ability to understand and apply contract language to billing is key.
Skills
Must have strong communication skills and attention to detail. Solid PC and application skills are required. Ability to handle a high volume of work with speed and accuracy. Proven ability in collections and negotiation. Ability to understand and apply contract language to billing.
Benefits
CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck.
Pay
The listed pay range (or hiring rate) represents CU Medicine's good faith and reasonable estimate of the range of possible compensation at the time of posting and is based on evaluation of competitive market data. A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer.
Schedule
The job can be performed 100% remotely, and out of state candidates will be considered.