Accounts Receivable Specialist
About The Position
The AR/Credentialing Specialist is responsible for resolving inbound patient inquiries related to billing in a multichannel Contact Center Environment. This role is crucial for accurate and timely insurance claims follow-up and accounts receivable resolution for assigned clinics, handling complex payers, aged claims, and special accounts receivable projects. The specialist will adhere to government regulations, payer contracts, and insurance guidelines, while also identifying and reporting inefficiencies to enhance revenue flow. Maintaining patient confidentiality and demonstrating flexibility to meet evolving needs are key aspects of this position.
Requirements
- 2-4 years in a healthcare environment required, preferably in billing, front office administration or call center
- Ability to read and understand insurance EOBs
- Must possess strong conflict resolution skills and the ability to multi-task while maintaining the highest-level of quality in every patient interaction
- High School diploma or GED required
Responsibilities
- Responsible for accurate and timely insurance claims follow-up and accounts receivable resolution for assigned clinics
- Accountable for complex payers, aged claims, and special accounts receivable projects
- Adhere to government regulations, payer contracts and insurance guidelines when performing insurance follow-up, resolving open accounts, and appealing claims
- Be a key contributor to the Revenue Cycle by identifying and reporting inefficiencies and opportunities that enhance revenue flow, decrease denials, and minimize write-offs
- Maintain confidentiality of all patient information with a full understanding of HIPAA requirements
- Demonstrates flexibility to meet the needs of all internal and external customers including changes to workflows, work volume and work schedules
- Other duties as assigned
Benefits
- Competitive compensation
- Flexible schedule
- In-person and virtual patient visits
- Comprehensive admin support (front office, accounting, finance, payroll, HR, etc)
- Professional development opportunities
- Clinical community, support, and leadership
- Medical, dental and vision benefits
- Life insurance
- Short and long-term disability
- Paid vacation and holidays
- Matching 401k plan
- State of the art technology
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
