AR Specialist | Medicare

Infinx•, (Multiple States)

6d•$19 - $23•Remote

About The Position

The AR Specialist | Medicare supports the department in various functions, including supporting accounts receivable processes to drive revenue optimization specific to Medicare accounts. This role is critical in enabling efficient revenue cycle operations through robust AR management. This role involves payment posting, adjustments, AR research, follow-up, reporting, and collaborating on process improvements.

Requirements

Proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC, and Provider-based billing and AR follow-up knowledge
Solid understanding of billing regulations related to Medicare and Medicare Advantage
5 years of hospital and physician claims follow-up and denials management
3 years of Medicare billing or Medicare follow-up experience
Proficiency with hospital EMRs: Cerner, Epic, McKesson, CPSI, Meditech, etc.
Proficiency with various billing systems: Waystar, SSI, Quadax, Availity, etc.
Proficiency with Medicare DDE system
Proficiency in MS Excel and MS Outlook
Excellent written and oral communication skills
Excellent organizational, time management, and interpersonal skills

Responsibilities

Process accounts receivable payments and adjustments
Research and resolve AR discrepancies promptly
Follow up on outstanding/aged receivables
Maintain organized AR documentation
Identify opportunities to improve AR processes
Function independently to complete timely and thorough follow-up on unresolved hospital and physician claims
Manage RTP and denied claims, including determining the root cause, and providing requested information to health plans to resolve identified issues
Prepare and submit appeals and reconsiderations to health plans
Adapt quickly to proprietary tools and technology
Other duties as assigned