Accounts Receivable Specialist - Work at Home - Ohio - PRN

About the Role

The Accounts Receivable Specialist is responsible for implementation and coordination of fiscal transactions in a timely and accurate manner. This role operates in alignment with the Ministry’s Standards of Behavior (CARE: Compassion, Advocate, Respect, Excellence) and reflects the core values of Mercy Health: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life, and Service.

Responsibilities

• Examines denied and underpaid claims to determine discrepancies; communicates directly with payers to follow up on outstanding claims, file appeals, resolve payment variances, and ensure timely reimbursement.
• Identifies specific reasons for underpayments, denials, and payment delays; works with management to address root causes of issues in the A/R.
• Maintains a thorough understanding of federal and state regulations, as well as payer-specific requirements, and takes appropriate action accordingly.
• Documents activity accurately, including contact names, addresses, phone numbers, and other pertinent information.
• Posts remittance advice to patient accounts, resolves errors after posting payments, posts guarantor payments, reconciles all posted cash, and requests refunds.
• Submits claims electronically or by paper according to payor specifications and filing limits.
• Performs pre-billing audits to ensure billing compliance as required by the company.
• Answers incoming phone calls to the business line, accepts payments, answers billing questions, assists patients with financial assistance, and provides service recovery as needed.
• Processes patient statements monthly per policy.
• Reviews all credit balances and processes them as required by Medicare, Medicaid, and all Third Party Payors.
• Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management.

Requirements

• High School Diploma.
• One year of experience in medical collections or professional billing required.
• Basic computer knowledge, ability to use standard office equipment, and proficiency in basic MS Office software.
• Problem-solving skills related to account resolution.
• Ability to adapt to changing procedures and a growing environment.

Preferred Qualifications

• 1-3 years of relevant experience in medical collections or professional billing.
• Knowledge of claims review and analysis.

Pay

Range: $18.11 – $27.17 per hour.

Benefits

• Competitive pay, incentives, and referral bonuses.
• 403(b) with employer contributions (when eligible).
• Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.

Benefits may vary based on the market and employment status.