Accounts Receivable Specialist Jobs

About The Position

Requirements

• High school diploma or equivalent.
• Three to five years of collections experience in a hospital business office.
• Direct account follow-up and/or billing experience.
• Ability to work independently from home in a fast-paced, changing, goal-oriented environment.
• Ability to maintain confidentiality when handling patient account information.
• Understanding of the entire revenue cycle.
• Detail-oriented and organized, with the ability to apply critical-thinking skills.

Nice To Haves

• Additional training in hospital insurance collections.
• Medical terminology, ICD-10, CPT, and DRG knowledge.
• Intermediate Excel experience.

Responsibilities

• Follow up on and collect assigned accounts using appropriate strategies and tools to resolve claims and obtain payment.
• Escalate unpaid claims to payer claims supervisors when regular follow-up efforts are unsuccessful.
• Document accounts in the client’s host system using the 5 W’s framework and applicable policies and procedures, then copy account notes into Amplify’s workflow tool.
• Assign appropriate status codes, such as root cause and action codes, in Amplify’s workflow tool to support identification and resolution of trends.
• Write first- and second-level appeals of denials to seek reversal and payment.
• Escalate payer denial and other trends to management for assistance.
• Work assigned underpayments as directed by management.
• Meet client- or position-specific daily productivity and quality expectations.
• Research and analyze correspondence related to assigned accounts.
• Respond to patient account inquiries while safeguarding confidential information in verbal replies and correspondence.
• Assist with problem solving, inquiries, and customer interactions to achieve positive results.
• Communicate daily with team members, management, and clients through email, phone calls, video meetings, and other collaborative tools.

Benefits

• Medical, dental, vision, and life insurance.
• Short- and long-term disability coverage.
• Health savings account with employer contributions.
• Flexible spending accounts for health care and dependent care.
• Wellness platform with premium incentives.
• Employee assistance support.
• Voluntary supplemental plans, including accident, critical illness, hospital indemnity, and child disability insurance.
• Flexible paid time off.
• Company-paid holidays.
• 401(k) plan with discretionary employer match opportunities.
• Professional development opportunities.
• Company-issued equipment.