Accounts Receivable Specialist II

Riverview Health • Noblesville, IN

1d

About The Position

Resolves higher dollar, aged accounts receivable to determine why a claim has not be paid and takes necessary actions to get claim paid immediately. Promptly resolves denials by identifying the root cause of the issue and then taking any necessary actions to get denial overturned and paid promptly. Works with payers, departments, management and patient (if required) to obtain necessary information for claim resolution. Provides feedback to supervisor and ensures collecting the information of trends and responds to inquiries about trends. Performs any necessary account adjustments in accordance with department policies. Ensures assigned work queues are reviewed and resolved timely. Monitors assigned work queues and payers for identification of potential problems. Proactively escalates unresolved questions or issues. Shares information as necessary. Other duties as assigned.

Requirements

• High school diploma or GED
• Minimum: Two (2) years of experience working with insurance balances in a business office or similar role.

Nice To Haves

• Three (3) years of insurance follow-up experience working in Epic EMR handling claims of moderate to high complexity

Responsibilities

• Resolves higher dollar, aged accounts receivable to determine why a claim has not be paid and takes necessary actions to get claim paid immediately.
• Promptly resolves denials by identifying the root cause of the issue and then taking any necessary actions to get denial overturned and paid promptly.
• Works with payers, departments, management and patient (if required) to obtain necessary information for claim resolution.
• Provides feedback to supervisor and ensures collecting the information of trends and responds to inquiries about trends.
• Performs any necessary account adjustments in accordance with department policies.
• Ensures assigned work queues are reviewed and resolved timely.
• Monitors assigned work queues and payers for identification of potential problems.
• Proactively escalates unresolved questions or issues.
• Shares information as necessary.
• Other duties as assigned.

What This Job Offers

• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees