Accounts Receivable, Customer Service Operations

About This Role

This role is responsible for accurate and timely processing of medical claims, managing accounts receivable, and interacting with insurance providers and patients for a clinical healthcare setting. The specialist will ensure compliance with healthcare regulations while resolving claim discrepancies.

Responsibilities

• Submitting medical documentation/billing data to insurance providers
• Researching and appealing denied and rejected claims
• Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing
• Following up on unpaid claims within standard billing cycle time frame
• Calling insurance companies regarding any discrepancy in payment if necessary
• Reviewing insurance payments for accuracy and completeness
• Verifying patient insurance and benefits
• Assisting patients with payment plans
• Maintaining accurate and confidential patient records in compliance with HIPAA

Requirements

• Strong knowledge of Microsoft Excel
• Ability to work independently and collaboratively within team environment
• Able to multi-task and meet tight deadlines
• Excellent problem-solving skills
• Strong communication skills
• Competent with computer systems, software and 10 key calculators

Qualifications

• HS, GED, bachelor’s degree in business related field preferred, or equivalent work experience preferred
• 2+ years’ experience as a Medical Biller or within Revenue Cycle Management preferred

Nice to Have

• 2+ years’ experience as a Medical Biller or within Revenue Cycle Management
• Familiarity with ICD-10 coding
• Knowledge of medical terminology

Skills

* Required skills

Benefits