Come work at the best place to give and receive care!
Job Description:
About the Job:
The Hospital Accounts Receivable (AR) Specialist is responsible for timely and accurate billing follow-up and resolution of third-party payer claims including commercial insurance Medicare Medicaid and government-assisted programs. This role ensures proper reimbursement by preparing submitting and monitoring claims and resolving outstanding account balances. The AR Specialist serves as a representative between the hospital payers and other internal departments to promote efficient claims resolution and compliance with federal state and payer-specific regulations.
What Youll Do:
- Prepare review and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods ensuring correct assignment of revenue codes modifiers and service lines
- Perform account follow-up on outstanding facility balances securing reimbursement in compliance with hospital policies government regulations and payer-specific billing rules (e.g. DRG APC OPPS methodologies)
- Assist Denial and Payment Variance teams by researching analyzing and resolving technical clinical and administrative denials specific to hospital claims escalating complex issues when necessary
- Collaborate with coding revenue integrity patient access and clinical departments to resolve charge capture documentation or registration issues that impact claim accuracy
- And more.
Who You Are:
- High School Diploma or GED required and/or equivalent experience of 2 years in billing experience Required
Why Youll Love Us:
- Health dental prescription and vision coverage for full-time & part-time employees
- Short term long term disability Accident insurance & life insurance
- Tuition Reimbursement
- Referral bonuses
- Accrued earned time for full-time & part-time employees
- 403b Retirement plans with generous employer contributions
- And more!
Work Shift:
7 - 3:30 pm 7:30 - 4 pm 8 - 4:30 pm 8:30 - 5 pm 9 - 5:30 Hybrid
SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation disability status veteran status or any other characteristic protected by law.
Required Experience:
IC
Come work at the best place to give and receive care!Job Description:About the Job:The Hospital Accounts Receivable (AR) Specialist is responsible for timely and accurate billing follow-up and resolution of third-party payer claims including commercial insurance Medicare Medicaid and government-assi...
Come work at the best place to give and receive care!
Job Description:
About the Job:
The Hospital Accounts Receivable (AR) Specialist is responsible for timely and accurate billing follow-up and resolution of third-party payer claims including commercial insurance Medicare Medicaid and government-assisted programs. This role ensures proper reimbursement by preparing submitting and monitoring claims and resolving outstanding account balances. The AR Specialist serves as a representative between the hospital payers and other internal departments to promote efficient claims resolution and compliance with federal state and payer-specific regulations.
What Youll Do:
- Prepare review and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods ensuring correct assignment of revenue codes modifiers and service lines
- Perform account follow-up on outstanding facility balances securing reimbursement in compliance with hospital policies government regulations and payer-specific billing rules (e.g. DRG APC OPPS methodologies)
- Assist Denial and Payment Variance teams by researching analyzing and resolving technical clinical and administrative denials specific to hospital claims escalating complex issues when necessary
- Collaborate with coding revenue integrity patient access and clinical departments to resolve charge capture documentation or registration issues that impact claim accuracy
- And more.
Who You Are:
- High School Diploma or GED required and/or equivalent experience of 2 years in billing experience Required
Why Youll Love Us:
- Health dental prescription and vision coverage for full-time & part-time employees
- Short term long term disability Accident insurance & life insurance
- Tuition Reimbursement
- Referral bonuses
- Accrued earned time for full-time & part-time employees
- 403b Retirement plans with generous employer contributions
- And more!
Work Shift:
7 - 3:30 pm 7:30 - 4 pm 8 - 4:30 pm 8:30 - 5 pm 9 - 5:30 Hybrid
SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation disability status veteran status or any other characteristic protected by law.
Required Experience:
IC
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