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EMERGICON · 1 day ago

Accounts Receivable (A/R) Specialist - Healthcare

Terrell, TX

Full-time

Onsite

New Grad, Entry Level

EMERGICON is seeking an Accounts Receivable (A/R) Specialist in the healthcare sector. The A/R Specialist will be responsible for reviewing claims, following up with insurance carriers and patients, and reporting trends in accounts receivable to management.

Health Care

Growth Opportunities

Responsibilities

Process claims over 60-days in a timely manner

Work assigned denials and correspondence

Utilize clearinghouse and insurance portals to check claim status

Identify and report trends detected to management

Prepare corrected claims and appeals, as needed

Process inbound and outbound calls as needed to insurance carriers

Comply with all state and federal collections and HIPAA regulations

Perform other job-related duties as assigned

Qualification

Insurance processesProficiency with A/R softwareReimbursement schedulesDetail-orientedCommunication skillsRefund processesPrioritize tasksMaintain relationshipsOrganizational skills

Required

High school diploma or equivalent required

Strong professional communication skills

Detail-oriented with strong organizational skills

Knowledge of managed care plans, insurance processes, and medical terminology

Familiarity with reimbursement fee schedules (Medicare and Medicaid)

Understanding of refund processes and requirements

Ability to establish and maintain cooperative working relationships with staff

Ability to prioritize tasks and manage multiple assignments simultaneously

Proficiency with accounts receivable software, insurance portals, and Microsoft Office applications

Comply with all state and federal collections and HIPAA regulations

Process claims over 60-days in a timely manner

Work assigned denials and correspondence

Utilize clearinghouse and insurance portals to check claim status

Identify and report trends detected to management

Prepare corrected claims and appeals, as needed

Process inbound and outbound calls as needed to insurance carriers

Perform other job-related duties as assigned

Preferred

Associate's degree or higher preferred

Experience in Medicare A/R, commercial insurance, appeals, correspondence, and denials preferred

Company

EMERGICON

EMERGICON, LLC, based in Dallas, Texas, was formed in 2006 to fill a need in the ambulance billing services industry by providing a better solution for processing ambulance claims.

Founded in 2006