Accounts Receivable Specialist - Work at Home - Ohio - PRN

Mercy Health BSMH•Columbus, OH

1d•$18 - $27•Remote

About The Position

The Accounts Receivable Specialist is responsible for the implementation and coordination of fiscal transactions in a timely and accurate manner. This includes claims processing, cash collection, claims resolution, resolving credit balances, EOM balancing, and monthly statements. The role is responsible for pre-claim review to assure billing compliance as required by the company and is accountable for complying with all policies, procedures, and regulations related to billing all Medicare, Medicaid, and other Third Party Payors.

Requirements

High School Diploma.
One year experience in medical collections or professional billing required.
Basic computer knowledge.
Ability to use standard office equipment.
Basic MS Office software proficiency.
Problem-solving skills related to account resolution.
Ability to adapt to changing procedures and a growing environment.

Nice To Haves

1-3 years of relevant experience in medical collections or professional billing preferred.
Knowledge of claims review and analysis.

Responsibilities

Examines denied and underpaid claims to determine the reason for discrepancies.
Communicates directly with payers to follow up on outstanding claims, file appeals, resolve payment variances, and ensure timely reimbursement.
Identifies specific reasons for underpayments, denials, and causes of payment delays.
Works with management to identify, trend, and address root causes of issues in the A/R.
Maintains a thorough understanding of federal and state regulations, as well as payer-specific requirements and takes appropriate action accordingly.
Documents activity accurately, including contact names, addresses, phone numbers, and other pertinent information.
Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management.
Acts as a strong problem solver and critical thinker to resolve accounts.
Posts remittance advice to patient accounts.
Resolves any errors after posting payments.
Posts guarantor payments.
Reconciles all posted cash.
Requests refunds.
Submits claims electronically or by paper according to payor specifications and filing limits.
Performs pre-billing audits to assure billing compliance as required by the company.
Answers all incoming phone calls to the business line, accepting payments, answering billing questions, assisting patients with financial assistance, and providing service recovery as needed.
Processes patient statements monthly per policy.
Reviews all credit balances and processes as required by Medicare, Medicaid, and all Third Party Payors.