Medical Accounts Receivable Specialist - Remote | WFH - Get It Recruit - Healthcare
Morris County, NJ 07054
About the Job
We are seeking a dedicated Accounts Receivable Follow-Up Representative to join our team. As an integral member of our organization, you will be responsible for ensuring timely resolution of outstanding claims, maintaining quality and productivity standards, and contributing to the overall success of our Accounts Receivable department.
Key Responsibilities:
Perform collections, account follow-up, billing, and allowance posting tasks for assigned accounts.
Utilize various communication channels including phone, email, fax, and websites to follow up with payers and resolve outstanding claims.
Meet and maintain daily productivity and quality standards as per departmental policies.
Utilize workflow systems, client host systems, and other available tools to collect payments and resolve accounts.
Adhere to established policies and procedures for the client/team.
Stay informed about timely filing deadlines for designated payers.
Conduct research on payer-specific billing guidelines as needed.
Analyze, identify, and resolve issues causing payment delays.
Proactively analyze and identify trends in claims issues to reduce denials.
Communicate any identified issues or trends to management.
Initiate appeals when necessary and ensure accurate documentation and communication throughout the recovery process.
Identify and correct medical billing errors.
Assist with special A/R projects as required, demonstrating strong analytical and communication skills.
Act cooperatively and courteously with patients, visitors, coworkers, management, and clients.
Work independently from assigned work queues while maintaining confidentiality and a professional attitude.
Adhere to HIPAA standards in handling patients' protected health information (PHI).
Qualifications:
Preferred 1+ years of experience in insurance collections or equivalent work experience.
Basic functioning knowledge of denied claims and appeals process.
Familiarity with Worker's Comp and PIP preferred.
Knowledge of individual payer websites such as Navinet, Availity, and Blue Cross Blue Shield, Medicare, and Medicaid sites.
Understanding of Medical Terminology, CPT Codes, Modifiers, and Diagnosis Codes.
Ability to work effectively both independently and as part of a team.
Basic MS Office skills, with a focus on Excel proficiency.
Experience with practice management systems such as EPIC PB, Centricity, Allscripts, and/or Cerner.
Strong oral and written communication skills.
Excellent organizational skills.
If you are a motivated individual with a passion for healthcare revenue cycle management and a commitment to delivering exceptional service, we encourage you to apply. Join us in making a difference in healthcare administration.
Employment Type: Full-Time
Salary: $ 20.00 21.00 Per Hour
Key Responsibilities:
Perform collections, account follow-up, billing, and allowance posting tasks for assigned accounts.
Utilize various communication channels including phone, email, fax, and websites to follow up with payers and resolve outstanding claims.
Meet and maintain daily productivity and quality standards as per departmental policies.
Utilize workflow systems, client host systems, and other available tools to collect payments and resolve accounts.
Adhere to established policies and procedures for the client/team.
Stay informed about timely filing deadlines for designated payers.
Conduct research on payer-specific billing guidelines as needed.
Analyze, identify, and resolve issues causing payment delays.
Proactively analyze and identify trends in claims issues to reduce denials.
Communicate any identified issues or trends to management.
Initiate appeals when necessary and ensure accurate documentation and communication throughout the recovery process.
Identify and correct medical billing errors.
Assist with special A/R projects as required, demonstrating strong analytical and communication skills.
Act cooperatively and courteously with patients, visitors, coworkers, management, and clients.
Work independently from assigned work queues while maintaining confidentiality and a professional attitude.
Adhere to HIPAA standards in handling patients' protected health information (PHI).
Qualifications:
Preferred 1+ years of experience in insurance collections or equivalent work experience.
Basic functioning knowledge of denied claims and appeals process.
Familiarity with Worker's Comp and PIP preferred.
Knowledge of individual payer websites such as Navinet, Availity, and Blue Cross Blue Shield, Medicare, and Medicaid sites.
Understanding of Medical Terminology, CPT Codes, Modifiers, and Diagnosis Codes.
Ability to work effectively both independently and as part of a team.
Basic MS Office skills, with a focus on Excel proficiency.
Experience with practice management systems such as EPIC PB, Centricity, Allscripts, and/or Cerner.
Strong oral and written communication skills.
Excellent organizational skills.
If you are a motivated individual with a passion for healthcare revenue cycle management and a commitment to delivering exceptional service, we encourage you to apply. Join us in making a difference in healthcare administration.
Employment Type: Full-Time
Salary: $ 20.00 21.00 Per Hour
Source : Get It Recruit - Healthcare