Accounts Receivable Specialist
Accounts Receivable Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Details
Description
US Heart and Vascular is in need of an Accounts Receivable Specialist to join our team in a remote position.
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 abreast of carrier/payer updates as it relates to Billing and Collections guidelines including claim submissions claim appeals grievance procedures and policy changes
- 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 through written appeals and coding reviews etc.
- 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
- Knowledgeoftheaccountsreceivables(A/R)process
- Bachelors Degree in a related field preferred but not required
- One year 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-1O coding
- Familiarity with medical office procedures and billing practices
Qualifications
Required Experience:
Unclear Seniority
Employment Type
Full-Time
