Accounts Receivable Specialist

Ascend Clinical•Colorado Springs, CO

49d•$21 - $26•Onsite

About The Position

Accounts Receivable Specialist Locations: Colorado Springs, CO Why Ascend? Come work for a company that is transforming the industry! We are Ascend Clinical, one of the highest volume clinical laboratories in the United States. With the use of the most advanced tools and technology, we process millions of tests each month. For over 30 years, we have been delivering industry-leading service and excellence in testing. At Ascend, we are relentless about innovation and growing to pioneer the future of clinical and environmental laboratory testing. Ascend is unlike most companies, offering the discipline of a healthcare leader and the mentality of a tech startup. As a company that is on the leading edge, we are seeking individuals with a similar mindset who enjoy a dynamic, fast-paced environment. Job Summary: The Accounts Receivable Specialist is responsible for researching, analyzing, billing, and collection of all patient accounts assigned. Performs routine eligibility and benefit checks. Researches, appeals, and resolves claim rejections, underpayments, and denials with appropriate payer. Medical billing, denial management and collections experience is required. This is an onsite role in our Colorado Springs office.

Requirements

Medical billing, denial management and collections experience required
High degree of problem solving abilities required

Responsibilities

Responsible for all areas of the revenue management life cycle
Ensures necessary information critical to submitting clean claims is obtained
Perform eligibility and benefit checks
Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence
Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payer
Reviews and interprets payer remittances to determine appropriate action to be taken on denied claims
Identify root cause of claim exceptions; resolve and/or escalate issues
Analyzes outstanding account balances and determines plan of action to resolve
Determine and apply appropriate business action in absence of policies or in cases of ambiguity
Identifies and interprets policies related to exceptions
Contacts payers for status of unpaid claims
Maintains knowledge/understanding of third party payer regulations for managed care, Medicare, and Medicaid accounts
Maintains patient confidentiality according to compliance policies and HIPAA