Hollstadt Consulting · 3 days ago
Accounts Receivable Specialist
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Consulting
Growth Opportunities
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Responsibilities
Claims Processing: Review and process health insurance and health system partner claims accurately and efficiently using appropriate medical coding and billing software.
Claim Submission: Submit claims to insurance companies, payers, health system partners, and government payers in accordance with established guidelines and deadlines.
Payment Posting: Post payments accurately to patient accounts, ensuring proper allocation and reconciliation.
Denial Management: Investigate and resolve claim denials and rejections promptly, including appealing denied claims as necessary.
Follow-up: Monitor accounts receivable aging for patient liability, insurance balances, follow up on unpaid claims, and initiate appeals or inquiries as needed to ensure timely payment.
Verification: Verify insurance eligibility and benefits for patients prior to service, and update patient records accordingly.
Billing: Generate and send patient statements for outstanding balances not covered by insurance, and assist patients with payment arrangements or financial assistance options.
Reporting: Prepare and analyze accounts receivable reports related to insurance billing and collections, providing insights and recommendations for process improvements.
Other duties as assigned
Qualification
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Required
A great people person that is willing to work collaboratively with multiple departments and vendors.
Minimum of 2 years of experience working in health insurance accounts receivable or medical billing.
Proficiency in medical billing software (e.g., Epic, Cerner) and familiarity with medical coding (ICD-10, CPT, HCPCS).
Knowledge of health insurance regulations, including Medicare, Medicaid, and commercial insurance plans.
Strong analytical skills and attention to detail.
Excellent communication and interpersonal skills, with the ability to interact professionally with insurance companies, healthcare providers, and patients.
Ability to work independently and as part of a team in a fast-paced healthcare environment.
Preferred
Bachelor’s degree in healthcare administration, Business Administration, or related field preferred.
Certification as a Medical Billing Specialist (CMBS) or Certified Professional Biller (CPB).
Experience with electronic claims submission and electronic remittance advice (ERA).
Knowledge of healthcare revenue cycle management processes.
Understanding of HIPAA regulations and patient privacy laws.
Company
Hollstadt Consulting
Hollstadt Consulting, a woman-owned firm in Minnesota.
Funding
Current Stage
Growth StageRecent News
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