Anderson Area only - Remote)

Ob Hospitalist Group•Greenville, SC

10d•$20 - $24•Remote

About The Position

The RCM Patient Accounts Receivable Specialist plays a key role within the Revenue Cycle Management team and is responsible for supporting the reduction of accounts receivable (AR) days, increasing net collections, reducing aged AR balances (120+ days), and improving overall cash collections. This position partners closely with billing vendors and third-party payors to research, resolve, and follow up on patient accounts while ensuring accuracy, compliance, and data security. Research and resolve patient account issues by communicating with billing vendors and third-party payors to verify claim status and demographic information Prioritize daily workload using aging reports, account balances, and management-directed priorities Investigate and pursue unpaid claims with third-party payors until resolution is achieved Apply strong working knowledge of third-party payor rules and guidelines, with an emphasis on State Medicaid plans Maintain compliance with all Protected Health Information (PHI) security requirements Ensure consistent processing standards with a high level of accuracy and low error rates Collect, document, and forward account updates to billing vendors, including insurance submissions, payment postings, and removal from collections Respond to Requests for Additional Information (RAIs) and provide direction on next steps Resolve claim errors, demographic discrepancies, duplicate claims, and coverage issues within assigned work queues Perform additional duties as assigned to support Revenue Cycle operations Research and resolve patient account issues by communicating with billing vendors and third-party payors to verify claim status and demographic information Prioritize daily workload using aging reports, account balances, and management-directed priorities Investigate and pursue unpaid claims with third-party payors until resolution is achieved Apply strong working knowledge of third-party payor rules and guidelines, with an emphasis on State Medicaid plans Maintain compliance with all Protected Health Information (PHI) security requirements Ensure consistent processing standards with a high level of accuracy and low error rates Collect, document, and forward account updates to billing vendors, including insurance submissions, payment postings, and removal from collections Respond to Requests for Additional Information (RAIs) and provide direction on next steps Resolve claim errors, demographic discrepancies, duplicate claims, and coverage issues within assigned work queues Perform additional duties as assigned to support Revenue Cycle operations

Requirements

Experience with insurance collections, including Medicaid, Managed Care, BCBS, and Commercial accounts
Knowledge of medical billing procedures, health plans, and claims processing
Strong organizational skills with high attention to detail
Proficiency in Microsoft Word and Excel
Experience working with medical billing systems (e.g., EPIC, Allscripts, McKesson, or similar platforms)
High School Diploma or equivalent
Experience with insurance collections, including Medicaid, Managed Care, BCBS, and Commercial accounts
Knowledge of medical billing procedures, health plans, and claims processing
Strong organizational skills with high attention to detail
Proficiency in Microsoft Word and Excel
Experience working with medical billing systems (e.g., EPIC, Allscripts, McKesson, or similar platforms)
High School Diploma or equivalent

Nice To Haves

Understanding of medical terminology, including ICD-9 and CPT codes
Strong professional phone presence and customer service skills
Experience supporting multi-state or multi-location billing environments
Advanced proficiency in Microsoft Excel
Understanding of medical terminology, including ICD-9 and CPT codes
Strong professional phone presence and customer service skills
Experience supporting multi-state or multi-location billing environments
Advanced proficiency in Microsoft Excel

Responsibilities

Research and resolve patient account issues by communicating with billing vendors and third-party payors to verify claim status and demographic information
Prioritize daily workload using aging reports, account balances, and management-directed priorities
Investigate and pursue unpaid claims with third-party payors until resolution is achieved
Apply strong working knowledge of third-party payor rules and guidelines, with an emphasis on State Medicaid plans
Maintain compliance with all Protected Health Information (PHI) security requirements
Ensure consistent processing standards with a high level of accuracy and low error rates
Collect, document, and forward account updates to billing vendors, including insurance submissions, payment postings, and removal from collections
Respond to Requests for Additional Information (RAIs) and provide direction on next steps
Resolve claim errors, demographic discrepancies, duplicate claims, and coverage issues within assigned work queues
Perform additional duties as assigned to support Revenue Cycle operations
Research and resolve patient account issues by communicating with billing vendors and third-party payors to verify claim status and demographic information
Prioritize daily workload using aging reports, account balances, and management-directed priorities
Investigate and pursue unpaid claims with third-party payors until resolution is achieved
Apply strong working knowledge of third-party payor rules and guidelines, with an emphasis on State Medicaid plans
Maintain compliance with all Protected Health Information (PHI) security requirements
Ensure consistent processing standards with a high level of accuracy and low error rates
Collect, document, and forward account updates to billing vendors, including insurance submissions, payment postings, and removal from collections
Respond to Requests for Additional Information (RAIs) and provide direction on next steps
Resolve claim errors, demographic discrepancies, duplicate claims, and coverage issues within assigned work queues
Perform additional duties as assigned to support Revenue Cycle operations

Benefits

A mission based company with an amazing company culture
Paid time off & holidays so you can spend time with the people you love
Medical, dental, and vision insurance for you and your loved ones
Health Savings Account (with employer contribution) or Flexible Spending Account options
Employer Paid Basic Life and AD&D Insurance
Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan
Paid Parental Leave
401(k) Savings Plan with match
Legal Plan & Identity Theft Services
Mental health support and resources