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Prompt Health · 2 months ago

AR Specialist

United States

Full-time

Remote

Entry, Mid Level

$22/hr - $28/hr

1+ years exp

Prompt Health is focused on solving complex problems in the healthcare industry and is seeking an Accounts Receivable Specialist for their revenue cycle management team. This role is essential for ensuring accurate billing and reimbursement for multi-specialty medical services, requiring attention to detail in managing claims and maintaining revenue integrity.

Health CareInformation TechnologyMedicalSoftware

Responsibilities

Prepare and accurately resubmit comprehensive corrected claims to various insurance companies, adhering closely to specific payer guidelines and contractual requirements, both electronically and via paper submission

Conduct thorough analysis of first pass rejected claims, ensuring completeness and accuracy of information for subsequent clean claim submission, thereby minimizing delays in reimbursement

Perform diligent research and follow-up on the status of primary and secondary billing claims for assigned insurance plans, proactively resolving any outstanding issues to expedite payment

Review, assess, and process all claim appeals, meticulously resubmitting to insurance carriers with comprehensive and accurate supporting documentation to maximize reimbursement

Evaluate customer accounts and recommend adjustments or write-offs to the Manager based on the collectability of accounts with insurance carriers or patients, maintaining a balanced approach to revenue recovery

Identify and promptly report any billing problems, errors, or discrepancies to management, facilitating proactive resolution of billing trends and ensuring ongoing revenue integrity

Generate and distribute monthly patient balance due statements in accordance with the explanation of benefits received from insurance carriers, fostering transparent communication, and facilitating timely resolution of outstanding balances

Qualification

Medical insurance billingClaims processingGoogle for BusinessExcelCustomer success orientationCommunication skillsProblem-solvingNegotiation skillsAttention to detail