Accounts receivable specialist (2968)

Job Details

Job Location: Remote, TN - Franklin, TN 37067

Position Type: Full Time

Education Level: High School Diploma/GED

Travel Percentage: None

Job Category: Other Positions

US Heart and Vascular is in need of a Remote Accounts Receivable Specialist to join our team.

Responsibilities:

• Responsible for billing all patient claims in a timely manner
• Perform basic claims follow up activities to include claim status checks, basic claim edits corrections and rebills.
• Work daily claims rejection lists including but not limited to, eligibility, coordination of benefits, clearinghouse smart edits, etc.
• Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions.
• Establish and maintain effective working relationships with carrier representatives and internal and external clients.
• Remain abreast of carrier/payer updates as it relates to Billing and Collections guidelines including claim submissions, claim appeals, grievance procedures and policy changes.
• Responsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud and Abuse laws.

Requirements:

• High School Diploma or equivalent required
• Knowledge of the accounts receivables (A/R) process
• Bachelor's Degree in a related field preferred but not required
• Minimum of 3 years of healthcare or insurance billing processing experience required
• Knowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulations
• eClinicalWorks experience preferred but not required
• Proficient in medical terminology, anatomy, and physiology
• Strong knowledge of ICD-10 coding
• Familiarity with medical office procedures and billing practices