Accounts Receivable Specialist (Hybrid)
Job Summary
The Accounts Receivable Specialist is responsible for researching, analyzing, billing, and collecting all patient accounts assigned. They perform routine eligibility and benefit checks, research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payers. This is a hybrid role that is 2-3 days a week in our Colorado Springs office.
Responsibilities
- Responsible for all areas of the revenue management life cycle
- Ensures necessary information critical to submitting clean claims is obtained
- Performs eligibility and benefit checks
- Minimizes bad debt by ensuring timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence
- Researches, appeals, and resolves claim rejections, underpayments, and denials with appropriate payer
- Reviews and interprets payer remittances to determine appropriate action to be taken on denied claims
- Determines and applies appropriate business actions in absence of policies or in cases of ambiguity
- Identifies and interprets policies related to exceptions
- Contacts payers for status of unpaid claims
- Maintains knowledge/understanding of third party payer regulations for managed care, Medicare, and Medicaid accounts
- Maintains patient confidentiality according to compliance policies and HIPAA
Qualifications
- Medical billing, denial management and collections experience required
- High degree of problem-solving abilities required
Compensation
$23-$29/hr
Benefits
As an Ascend Clinical employee, you will become part of a company that has received national recognition as a great place to work. We offer excellent full-time benefits including comprehensive medical coverage, life and disability insurance, 401(k) with company match, paid holidays and vacation, personal days, and dental and vision options.
About the Role
This is a hybrid role that is 2-3 days a week in our Colorado Springs office.