AR Specialist | Medicare
About The Position
The AR Specialist | Medicare supports the department’s accounts receivable processes to optimize revenue from Medicare accounts and enable efficient revenue cycle operations. The role includes payment posting, adjustments, AR research and follow-up, reporting, and collaboration on process improvements. The position is remote and is part of Ni2 Health, an Infinx Company. The ideal candidate is action oriented, eager to learn and grow, and able to work independently to complete timely, thorough follow-up on unresolved hospital and physician claims. Applicants must submit a full CV, cover letter, and updated resume to be considered.
Requirements
- At least 3 years of experience in hospital and physician claims follow-up and denials management.
- Proficiency with hospital EMRs such as Cerner, Epic, McKesson, CPSI, or Meditech.
- Proficiency with billing systems such as Waystar, SSI, Quadax, or Availity.
- Proficiency with the Medicare DDE system.
- Proficiency in MS Excel and MS Outlook.
- Excellent written and verbal communication skills.
- Excellent organizational, time management, and interpersonal skills.
- Proven experience with hospital inpatient, outpatient, CAH, Method I and II, and RHC billing, as well as provider-based billing and accounts receivable follow-up knowledge.
- Understanding of billing regulations related to Medicare and Medicare Advantage.
- Ability to work independently and complete timely, thorough follow-up on unresolved hospital and physician claims.
- Ability to manage RTP and denied claims, determine root causes, and provide requested information to health plans.
- Ability to prepare and submit appeals and reconsiderations to health plans.
Nice To Haves
- Medicare billing or Medicare follow-up experience is strongly preferred.
Responsibilities
- Process accounts receivable payments and adjustments.
- Research and promptly resolve accounts receivable discrepancies.
- Follow up on outstanding and aged receivables.
- Maintain organized accounts receivable documentation.
- Identify opportunities to improve accounts receivable processes.
- Complete timely and thorough follow-up on unresolved hospital and physician claims.
- Manage RTP and denied claims, identify root causes, and provide requested information to health plans to resolve issues.
- Prepare and submit appeals and reconsiderations to health plans.
- Adapt quickly to proprietary tools and technology.
- Perform other duties as assigned.
- Support accounts receivable reporting and collaborate on process improvements.
Benefits
- 401(k) Retirement Savings Plan
- Medical coverage
- Dental coverage
- Vision coverage
- Paid Time Off
- Paid Holidays
- Pet Care Coverage
- Employee Assistance Program (EAP)
- Discounted services
- Flexible work hours when possible
- A work environment that fosters creativity, teamwork, collaboration, and professional growth
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
