Accounts Receivable Specialist - Healthcare - Career Strategies, Inc.
Orlando, FL 32804
About the Job
Qualified candidates will have experience with revenue cycle management and customer service in the healthcare industry. Thorough knowledge of CPT and ICD-9 codes and familiarity with the upcoming ICD-10 transition is necessary. Preferred in-depth knowledge of the billing and collections process for Medicare, Medicaid as well as commercial and third-party carriers is a must and experience in reading EOB's desired. Additional qualifications include strong technical and report analysis skills and a strong customer focus.
Responsibilities (include but are not limited to):
- Review HCFAs and electronic edits for submissions and rejections to insurance companies
- Processing and posting of payments, research and follow up on unresolved payment issues and zero EOB's.
- Receive and initiate patient calls to resolve billing or payment concerns
- Research, review and communicate with insurance carriers regarding open accounts receivables
- Review, research and initiate collections procedures with outside agency
- Researching and analyzing accounts, communicating with insurance payers and patients and recording clear and accurate notes for management as well as maintaining the appropriate documentation.
- Ability to learn what each denial code represents and be able to determine the next course of action
Equal Opportunity Employer
Job Requirements:
- Minimum 2 to 5 years of Healthcare Billing and Collection experience is required
- Knowledge of Excel, word, various insurance portals, TSI systems, and clearing houses are a must
- Basic understanding of the benefits investigation process (deductible, out-of-pocket, benefit exclusions; etc.
- Working knowledge of reimbursement claim forms (CMS/HFCA-1500 required)
- Analytical and problems solving skills, detail and results oriented.
- Knowledge of Managed Care, Commercial Insurance, Medicare and Medicaid reimbursement
- Must possess good written and oral communication skills with the ability to interface with patients and company personnel at all levels
Job Requirements:
- Minimum 2 to 5 years of Healthcare Billing and Collection experience is required
- Knowledge of Excel, word, various insurance portals, TSI systems, and clearing houses are a must
- Basic understanding of the benefits investigation process (deductible, out-of-pocket, benefit exclusions; etc.
- Working knowledge of reimbursement claim forms (CMS/HFCA-1500 required)
- Analytical and problems solving skills, detail and results oriented.
- Knowledge of Managed Care, Commercial Insurance, Medicare and Medicaid reimbursement
- Must possess good written and oral communication skills with the ability to interface with patients and company personnel at all levels
Source : Career Strategies, Inc.