Medical Accounts Receivable Specialist
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Job Location:
Louisville, KY - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
- Perform payment follow-up activities on assigned patient accounts.
- Conduct collection activities by contacting government agencies third-party payers or patients via phone email or online portals.
- Continue follow-up efforts until the account is resolved paid or appropriately escalated.
- Review and address previously appealed claims ensuring timely responses from payers.
- Request and track additional documentation from internal departments or patients as needed.
- Research payer plans and verify benefit coverage to resolve claim discrepancies.
- Identify billing or coding issues and request re-bills secondary billing or corrected claims as required.
- Monitor payer trends and escalate recurring issues or delays to management.
- Maintain productivity and quality standards for assigned accounts.
- Ensure compliance with all federal state and payer-specific regulations related to medical collections and appeals.
- Collaborate with other departments to ensure efficient resolution of account issues.
Qualifications :
- High school diploma or equivalent required; post-secondary education in billing or healthcare administration preferred.
- Minimum 12 years of experience in medical billing collections or accounts receivable follow-up.
- Solid understanding of the revenue cycle process including patient access billing and collections.
- Working knowledge of Managed Care HMO/PPO Medicare/Medicaid and commercial payer guidelines.
- Familiarity with UB-04 and HCFA 1500 billing forms.
- Strong analytical and problem-solving skills with attention to detail.
- Excellent written and verbal communication skills.
- Ability to meet daily productivity and accuracy standards.
- Proficiency in Microsoft Office and experience with billing or claim management systems preferred.
Additional Information :
Our success starts with our people. We believe in creating an environment where you can be yourself work on interesting projects and grow your own way. Whether youre working from our offices or from home youll be part of a supportive inclusive community that celebrates diverse perspectives and empowers you to make an impact every day.
Choose Growth. Choose Sutherland.
EEOC and Veteran Documentation
During employment employees are treated without regard to race color religion sex national origin age marital or veteran status medical condition or handicap or any other legally protected status.
At times government agencies require periodic reports from employers on the sex ethnicity handicap veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping reporting and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information please note that all
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.
Remote Work :
Yes
Employment Type :
Full-time
Key Skills
- Data Entry
- Customer Service
- Collection calls
- A/R Management
- credit memos
- Past due Account
- General Ledger Accounting
- Accounting
- CMA
- Excel
- Payment Plans
- Account Balances
- Credit Card
- Financial statement
- Special projects
About Company
Sutherland is seeking an organized and reliable person to join us as Admin Specialist. We are a group of driven and supportive individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you ... View more
