Accounts Receivable Specialist II

WebPT

23d•Remote

About The Position

This role is responsible for reviewing claims for accuracy and completeness, correcting claims in a timely manner to ensure prompt payment, rebilling claims as needed, and resolving underlying claims issues. The specialist will pursue full contractual reimbursement on behalf of members, obtain claim status via phone or internet, and resolve accounts quickly and accurately. This involves performing investigative follow-up tasks in a fast-paced environment, conducting research, and sometimes contacting patients, insurance carriers, and claim adjusters. Key responsibilities include handling claim appeals, responding to insurance carrier correspondence or inquiries, and timely and accurate follow-up on denials and appeals. The role requires consistently meeting or exceeding productivity and quality standards, working independently or as part of a team to achieve SLA metrics set by the AR Department, and identifying opportunities for member, system, and process improvements to submit to the team lead. Adherence to all HIPAA guidelines and regulations is mandatory to keep data safe and secure. Reliability and punctuality in reporting for work and taking designated breaks are also essential. The Accounts Receivable Specialist I reports to the Accounts Receivable Lead.

Requirements

High school Diploma/GED
2 Years of experience in Full-cycle medical billing or schooling

Responsibilities

Pursue full contractual reimbursement on behalf of our members.
Obtain claim status via phone or internet
Resolve accounts quickly and accurately, obtaining maximum reimbursement, and perform investigative follow up tasks in a fast-paced environment
Conduct research, including sometimes contacting patients, insurance carriers, and claim adjusters.
Claim Appeals
Responding to insurance carrier correspondence or inquires
Timely and accurate follow-up on denials and appeals
Consistently meet or exceed productivity and quality standards.
Work independently or as a member of a team to achieve and maintain SLA metrics set by the AR Department.
Identify opportunities for member, system, and process improvements and submit to team lead.
Adhere to all HIPAA guidelines and regulations keeping all of the data in our system safe and secure.
Reliable and punctual in reporting for work and taking designated breaks.