Senior Accounts Receivable Specialist

About the role

The Sr Specialist, Accounts Receivable plays a crucial role in ensuring timely and accurate reimbursement for clients. This position involves resolving claim payment issues, monitoring clean claim delays, and mentoring team members.

Responsibilities

• Follow up directly with commercial, governmental, and other payers to resolve claim payment issues.
• Identify trends in denied payments and communicate with other departments to resolve denial issues.
• Submit technical and clinical appeals in a timely manner.
• Mentor AR Specialist team members to help develop and improve their skills.
• Examine denied and non-paid claims to determine reasons for discrepancies.
• Demonstrate initiative in resolving complex claims and make recommendations to management.
• Communicate directly with payers to follow up on outstanding claims, file appeals, and ensure timely reimbursement.
• Provide guidance to other team members on resolving complex claims and filing appeals.
• Identify specific reasons for underpayments, denials, and payment delays and work with management to address root causes.
• Takes meeting minutes for payor escalation calls and provides feedback to AR associates.
• Assists supervisors with DIBS calls as needed.
• Works with management to identify and address issues in the Accounts Receivable process.

Requirements

• High School Diploma, GED, or Equivalent.
• 1 to 3 Years of Relevant Experience in Medical Collections, Physician/Hospital Operations, AR Follow-up, Denials & Appeals, Compliance, Provider Relations, or Professional Billing.
• Knowledge of Claims Review and Analysis, Working Knowledge of Revenue Cycle, Experience Working the DDE Medicare System, and Using Payer Websites to Investigate Claim Statuses.
• Working Knowledge of Medical Terminology and/or Insurance Claim Terminology.

Qualifications

• One or More Years of Relevant Experience in Medical Collections, Physician/Hospital Operations, AR Follow-up, Denials & Appeals, Compliance, Provider Relations, or Professional Billing.
• Two or Four-Year College Degree.
• Ability to Identify Specific Reasons for Underpayments, Denials, and Payment Delays and Work with Management to Address Root Causes.
• Excellent Verbal Skills, Problem Solving Skills, Critical Thinking Skills, Adaptability to Changing Procedures and Growing Environment.
• Meet Quality and Productivity Standards Within Timelines Set Forth in Policies.
• Meet Required Attendance Policies.

Skills

• Basic Computer Knowledge.
• Proficiency in Microsoft Excel.
• Strong Problem-Solving Skills.
• Critical Thinking Skills.
• Adaptability to Changing Procedures and Growing Environment.

Benefits

• Bonus Incentives.
• Paid Certifications.
• Tuition Reimbursement.
• Comprehensive Benefits.
• Career Advancement.

Pay

This position pays between $18.65 - $20.50/hr based on experience.

Schedule

This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.