Maric Healthcare · 3 days ago
Accounts Receivable Specialist
United States
Full-time
Remote
Entry, Mid Level
2+ years exp
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Responsibilities
Understanding of Commercial, Medicare, Medicaid and third-party billing processes.
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other third-party payer requirements and systems.
Effective communication abilities for phone contacts with insurance payers to resolve issues.
Documents all collection activity on accounts.
Review explanation of benefits in making sure claims were paid correctly; based on fee schedule for payer.
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with insurers during this process.
Review claims before closing out adjustments.
Familiar with CPT and ICD-10 coding.
Competent use of computer systems and software.
Ability to work well in a team environment. Being able to delegate tasks, and handle conflict in a reasonable manner.
Ability to multi-task.
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Qualification
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Required
Minimum of two to four years’ experience in insurance collections for claims adjudication.
Understanding of Commercial, Medicare, Medicaid and third-party billing processes.
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other third-party payer requirements and systems.
Effective communication abilities for phone contacts with insurance payers to resolve issues.
Documents all collection activity on accounts.
Review explanation of benefits in making sure claims were paid correctly; based on fee schedule for payer.
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
A calm manner and patience working with insurers during this process.
Review claims before closing out adjustments.
Familiar with CPT and ICD-10 coding.
Competent use of computer systems and software.
Ability to work well in a team environment.
Ability to delegate tasks, and handle conflict in a reasonable manner.
Ability to multi-task.
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Company
Maric Healthcare
Maric Healthcare provides medications, counseling, and first-rate opioid addiction treatment.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase
