A/R Analyst

We are looking for a Fully Remote Accounts Receivable Specialist who has strong communication and interpersonal skills, the ability to work independently and as part of a team, extensive experience with appeals and denials, patient collections, good computer skills, along with the ability to multi-task and work in a fast-paced environment. Qualified candidates must have 2 years of provider-side medical billing experience and experience working with major insurance carriers, Medicare, and Medicaid.

Essential Duties and Responsibilities:

1. Follow up on unpaid claims within standard billing cycle timeframe.
2. Check each insurance payment for accuracy and compliance with contract discount.
3. Call insurance companies regarding any discrepancy in payments if necessary.
4. Identify and bill secondary or tertiary insurances.
5. Research and appeal denied claims.
6. Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
7. Set up patient payment plans and work collection accounts.

Knowledge, Skills, and Abilities:

1. Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
2. Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
3. Use of computer systems and software.
4. Effective communication abilities for phone contacts with insurance payers to resolve issues.
5. Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members.
6. Able to work in a team environment.
7. Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.
8. Knowledge of accounting and bookkeeping procedures.
9. Knowledge of medical terminology likely to be encountered in medical claims.
10. Knowledge of CPT/ICD-10 coding discrepancies.

Other Requirements:

To be considered for positions where permitted by applicable law (including any applicable reasonable accommodation, medical or religious exemption), candidates must have received or be willing to receive the COVID-19 vaccine prior to their start date.