Accounts Receivable Specialist

Care SynergyDenver, CO
$23 - $27Onsite

About The Position

Care Synergy has an immediate opening for an Accounts Receivable Specialist. LOCATION: Denver, CO STATUS: Full-time SCHEDULE: Monday-Friday, 8-5 HOURLY PAY RANGE: $22.98 - $27.00 SUPPLEMENTAL PAY : Based on position, schedule and/or availability: Overtime MILEAGE AND EXPENSE REIMBURSEMENT: Sixty-two and a half cents per mile – one of the highest in the industry! CULTURE, BENEFITS AND PERKS: We value engagement, community, and outreach initiatives and know it matters for our team members and our patients. We provide welcoming and supportive care to our patients and a work environment where all team members feel respected and valued. We support a culture of work-life balance and provide team members with two, free, confidential and robust benefit programs designed to provide solutions to the logistical and financial problems that arise in life. Employer pays over 90% of employee medical premium in some plans Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000 Healthcare Benefits are effective on the 1st of the month following 30 days of employment Extensive Paid Time Off (PTO/Vacation Pay/Sick Leave): 18 days in the first year for FT team members Seven Paid Holidays with an additional Floating Holiday 403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation Company-Paid Life and AD&D Insurance Career & Logo wear Education Reimbursement Program Clinical Career Ladders Certification Pay Generous Discover-a-Star Team Member Referral Program Team Member Service Awards Early Wage Access Legal and Identity Protection Robust Leadership Development Training Programs REWARDING WORK YOU WILL DO: Responsible for the submission, management and collection of patient claims with applicable Payors (Medicare, Medicaid, VA, insurance companies and Self-pay, as applicable). Submits claims to clearinghouse or individual Payor, electronically or via paper, as required. Follow up on unpaid or rejected claims within standard billing cycle time frame. Resolves issues and re-submits claims. Work claims and denials to ensure maximum reimbursement for services provided. Prepares appeal letter to Payor when not in agreement with claim denial. Collect necessary information to accompany appeal. Prepares patient statement for charges not covered by insurance. Ensures statements are mailed on a regular basis. Answers patient questions on patient responsible portions, copay, deductibles, write-offs, etc. May work with patients to establish payment plan for delinquent account in accordance with provider policies. For patients with coverage with multiple insurers, prepares and submits secondary claims upon processing by primary insurer. Follows HIPAA guidelines in handling patient information. May periodically create insurance or patient aging reports using the medical practice billing software. These reports are used to identify unpaid insurance claims or patient accounts. Participates in educational activities and attends weekly staff meetings. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Requirements

  • Minimum Education: High school degree or equivalent combination of education and experience.
  • Minimum Experience: Two (2) years of Healthcare billing required.
  • PHYSICAL REQUIREMENTS: Ability to lift/carry a minimum of 30 lbs.

Responsibilities

  • Responsible for the submission, management and collection of patient claims with applicable Payors (Medicare, Medicaid, VA, insurance companies and Self-pay, as applicable).
  • Submits claims to clearinghouse or individual Payor, electronically or via paper, as required.
  • Follow up on unpaid or rejected claims within standard billing cycle time frame.
  • Resolves issues and re-submits claims.
  • Work claims and denials to ensure maximum reimbursement for services provided.
  • Prepares appeal letter to Payor when not in agreement with claim denial.
  • Collect necessary information to accompany appeal.
  • Prepares patient statement for charges not covered by insurance.
  • Ensures statements are mailed on a regular basis.
  • Answers patient questions on patient responsible portions, copay, deductibles, write-offs, etc.
  • May work with patients to establish payment plan for delinquent account in accordance with provider policies.
  • For patients with coverage with multiple insurers, prepares and submits secondary claims upon processing by primary insurer.
  • Follows HIPAA guidelines in handling patient information.
  • May periodically create insurance or patient aging reports using the medical practice billing software.
  • These reports are used to identify unpaid insurance claims or patient accounts.
  • Participates in educational activities and attends weekly staff meetings.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Benefits

  • Employer pays over 90% of employee medical premium in some plans
  • Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000
  • Healthcare Benefits are effective on the 1st of the month following 30 days of employment
  • Extensive Paid Time Off (PTO/Vacation Pay/Sick Leave): 18 days in the first year for FT team members
  • Seven Paid Holidays with an additional Floating Holiday
  • 403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation
  • Company-Paid Life and AD&D Insurance
  • Career & Logo wear
  • Education Reimbursement Program
  • Clinical Career Ladders
  • Certification Pay
  • Generous Discover-a-Star Team Member Referral Program
  • Team Member Service Awards
  • Early Wage Access
  • Legal and Identity Protection
  • Robust Leadership Development Training Programs
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