Netsmart · 8 hours ago
RCM, Account Receivable Specialist
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Health Care
No H1B
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Responsibilities
Gather accurate reimbursement on client accounts and identify denial trends to improve client performance.
Follow up on outstanding medical A/R with no response from the insurance carriers.
Update client account in system with any action taken or additional information attained when verifying benefits.
Contact insurance companies by phone, email, fax, and written correspondence to resolve issues that prevent claims from being processed correctly.
Handle EDI (Electronic Data Interchange) transactions, including reconciling carrier submissions, edits and rejection reports.
Provide customer service support for patients, client administrative staff and insurance companies
Review and apply current standards on federal and state regulations and statues that influence collections of receivables and meet productivity standards.
Qualification
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Required
High school diploma or GED.
At least 1 year of medical billing experience.
At least 1 year of Microsoft Excel work experience including creating spreadsheets, editing and formatting, and using pivot tables
Preferred
Associate’s or Bachelor’s degree
Knowledge of medical billing specifically in behavioral, homecare, and long-term care insurance.
Collections experience in a healthcare setting.
Working knowledge of medical billing systems (i.e. Medic, IDX, Avatar, Tier, Medical Manager, etc.)
Company
Netsmart
Netsmart designs, builds and delivers electronic health records (EHRs), solutions and services that are powerful, intuitive and easy-to-use.
Funding
Current Stage
Late StageLeadership Team
Recent News
2024-04-14
Business Journals
2024-04-06
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