Netsmart · 3 days ago

RCM, Account Receivable Specialist

United States

Full-time

Remote

Entry Level

1+ years exp

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Health Care

No H1B

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Responsibilities

Gather accurate reimbursement on client accounts and identify denial trends to improve client performance.

Follow up on outstanding medical A/R with no response from the insurance carriers.

Update client account in system with any action taken or additional information attained when verifying benefits.

Contact insurance companies by phone, email, fax, and written correspondence to resolve issues that prevent claims from being processed correctly.

Handle EDI (Electronic Data Interchange) transactions, including reconciling carrier submissions, edits and rejection reports.

Provide customer service support for patients, client administrative staff and insurance companies

Review and apply current standards on federal and state regulations and statues that influence collections of receivables and meet productivity standards.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medical billing experienceMicrosoft ExcelMedical billing systemsCollections experienceGEDAssociate’sBehavioral insurance knowledgeHomecare insurance knowledgeLong-term care insurance knowledge