Accounts Receivable Specialist II #Full Time #Remote
About The Position
Top Healthcare Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors . This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be occasional requirements to visit the office for training, meetings, and other business needs. Opportunity to grow as part of a Revenue Cycle Career Ladder! Job Summary: The Accounts Receivable Specialist II is responsible for follow-up work to collect on all open and unpaid accounts with insurance companies and third parties. Responsibilities include inquiring about unpaid claims, appealing denied claims with insurance companies, and contacting patients or account guarantor. The Accounts Receivable Specialist I must exhibit professional and courteous behavior at all times during communications.
Requirements
- High school graduate or GED certificate is required.
- A minimum of 1 years experience in a physician billing or third party payor environment.
- Candidate must demonstrate a strong customer service and patient focused orientation and the ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process.
Nice To Haves
- Experience in Epic/electronic billing systems preferred
- Knowledge of medical terminology, diagnosis and procedure coding preferred
- Previous experience in an academic healthcare setting preferred
Responsibilities
- Researches root issue of denial.
- Apply knowledge of payer policies to pursue proper course of appeal or follow up to obtain payment.
- Reviews account history for continuous follow up.
- Addresses incoming correspondence and respond timely to ensure prompt resolution.
- Prepares correspondence to insurance companies, patient and/or guarantor, as necessary.
- Contacts insurance companies and/or patient/guarantor through phone contact, correspondence, online portals and other approved means to obtain status of outstanding claims and submitted appeals.
- Documents clearly in billing system the claim issue and course of action taken on every account worked.
- Performs charge corrections based on payer and institutional policies.
- Performs demographic and insurance coverage updates on account as appropriate and bill new insurance as appropriate.
- Performs other job duties as assigned and required.
Benefits
- The Service Corporation offers a competitive comprehensive Benefits package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
