Healing Partners ยท 1 day ago
Accounts Receivable Collections Specialist
Healing Partners is a healthcare organization looking for an Accounts Receivable Collections Specialist to manage denied claims and ensure timely filing with payors. The role involves researching and rebilling claims, reporting trends in denials, and working directly with insurance companies and patients to resolve billing issues.
Health CareHospitalMedical
Responsibilities
Review denied and no response claims for the accuracy of CPT, diagnosis codes, procedure codes, and modifiers and rebill or send corrected claim within the payers' timely filing limits
Research and rebill claims to appropriate insurance for (109 denials) and update the patient chart to reflect correct insurance
Communicate with insurance companies and other parties to clarify billing issues and resolve payment issues
Follow up with the provider on any documentation that may be needed to appeal claims when appropriate
Complete balance adjustments to accounts when the claim is deemed uncollectible per company policy
Identify and report any trends with denials (ex. Credentialing issues) to Revenue Cycle Manager
Answer incoming calls regarding billing inquiries from insurance and/or patients
Qualification
Required
High School Diploma or equivalent
1 year of physician billing and/or accounts receivable follow up experience
Knowledge of Medicare, Medicaid, and Managed Care billing and reimbursement guidelines
Detail-oriented, problem solver/analytical, flexible, and self-motivated
Proficiency with Microsoft (Outlook, Office Word, and Excel)
Organized, ability to multi-task in a fast-paced environment
Works well independently and in a team setting
Ability to type 45+ words per minute