BioTAB Healthcare · 4 hours ago
Accounts Receivable Specialist
St Louis, MO
Full-time
Onsite
Entry Level
1+ years expBioTAB Healthcare is a family-owned company that has supported patients with lymphatic, wound, and circulatory disorders for over 20 years. The Accounts Receivable Specialist is responsible for comprehensive medical billing, payment posting, and collection actions while ensuring compliance with relevant laws and company policies.
Medical Device
Responsibilities
Payment Posting: EFT, credit card, ACH, live check and insurance payments. Researches and evaluates insurance payments and correspondence for accuracy & process/post insurance and patient payments. Matches EOB and payment records with payments, processing write offs, batching and scanning of payments with applicable record keeping
Billing: Accurate and timely submission of all claims for all payers, review and prepare daily claim/invoice submission for primary, secondary, & tertiary payers and/or patient statements. Review rejected claims, perform correction activities and ensure resubmission as appropriate. Ensure all Contract Billing Partner billing is submitted to appropriate outsourced partner
Collections: Timely and accurate follow up on unpaid claims or patient accounts, work assigned lists of outstanding claim balances and/or patient accounts with multifaceted issues across different payers and patients. Identify trends, conduct follow up and perform root cause analysis on unpaid and underpaid insurance claims across different payers. Analyze and resolve billing discrepancies on patient accounts, communicate findings to patient. Draft appeals and effectively overturn denied or underpaid claims, remediation, appeals research, re-bill & payer resolution
Compliance: Ensuring compliance with relevant healthcare regulations, financial standards, and internal policies. Prepares year end schedules for Review and other regulatory agencies, assist in monitoring compliance with Medicare regulations. Adhere to all relevant regulations and agency policies regarding patient intake and data management, including but not limited to: CMS and OFCCP guidelines related to our Quality Management System, documentation and process creation and training
Qualification
Required
1 year minimum: claim submission, payment posting, appeal and denial processes
medical device billing and/or general healthcare reimbursement, medicare and commercial insurance carriers plan configurations in respect to calculations of coinsurance, deductibles and percentages
Ability to analyze data, identify trends, and make recommendations
Excellent communication and interpersonal skills to effectively collaborate
Proficiency in accounting software, Microsoft products with proficiency in Excel
Excellent organizational and time management skills: To manage a high volume of work and ensure timely processing of information
Attention to detail: To ensure accuracy in patient records and insurance information
Problem-solving skills: To address any issues or challenges that may arise during the intake process and within the established AR department workflow
Preferred
College degree preferred or related previous experience
Preferred In-Depth Knowledge: Healthcare methodologies in coding, coverage, criteria, payments
Benefits
401k with company match
Healthcare
Vision
Dental
Life insurance
Short term disability
Company
BioTAB Healthcare
BioTAB Healthcare is a leading provider of Pneumatic Compression Therapy solutions, helping patients manage chronic conditions like Lymphedema, Chronic Venous Insufficiency, Venous Ulcers, and Peripheral Arterial Disease.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase