Accounts Receivable Specialist (Hybrid)

Ascend Clinical•Colorado Springs, CO

8d•$21 - $29•Hybrid

About The Position

The Accounts Receivable Specialist researches, analyzes, bills, and collects assigned patient accounts and performs routine eligibility and benefit checks. The role researches, appeals, and resolves claim rejections, underpayments, and denials with payers. Medical billing, denial management, and collections experience is required. This is a hybrid position requiring work in the Colorado Springs office 2–3 days per week.

Requirements

Medical billing, denial management, and collections experience.
High degree of problem-solving ability.

Responsibilities

Manage all areas of the revenue management life cycle.
Ensure necessary information is obtained to submit clean claims.
Perform eligibility and benefit checks.
Minimize bad debt through timely follow-up on unpaid claims, resolution of denials, and other payer-related correspondence.
Research, appeal, and resolve claim rejections, underpayments, and denials with the appropriate payer.
Review and interpret payer remittances to determine appropriate action on denied claims.
Identify root causes of claim exceptions and resolve or escalate issues.
Analyze outstanding account balances and determine a plan of action for resolution.
Determine and apply appropriate business action when policies are absent or ambiguous.
Identify and interpret policies related to exceptions.
Contact payers regarding the status of unpaid claims.
Maintain knowledge of third-party payer regulations for managed care, Medicare, and Medicaid accounts.
Maintain patient confidentiality according to compliance policies and HIPAA.