Remote Medical Accounts Receivable Representative | WFH

Job Overview

Join our esteemed organization as a Medical Accounts Receivable Representative, where you will play a pivotal role in optimizing our healthcare financial processes. This fully remote position offers you the chance to contribute to a company renowned for its commitment to compliance and excellence in service delivery.

Key Responsibilities

• Facilitate the resolution of incidents by managing pending cases, initiating appeals, and verifying demographic and insurance information as required.
• Monitor and analyze reimbursements from various insurance companies, ensuring compliance with federal and state regulations while implementing appropriate collection strategies.
• Engage proactively with insurance carriers via phone to secure payments, meticulously documenting all interactions and following up with clients to ensure timely resolutions.
• Oversee outstanding accounts daily, aiming to expedite payment for open incidents.
• Review Explanation of Benefits (EOBs) from insurance providers, taking necessary actions such as appealing denied or underpaid claims and seeking adjustments from clients.
• Communicate observed trends in insurance denials to supervisors to support the identification of issues with specific payers, while addressing inquiries from account managers and insurance carriers.
  
  

Required Skills

• Proven experience in medical billing, preferably across multiple specialties.
• In-depth knowledge of CPT codes, modifiers, and diagnosis codes.
• Familiarity with payer guidelines and physician billing processes, including appeals and denials management.
• Experience with private, government, and workers' compensation insurance companies is advantageous.
• Excellent verbal and written communication skills, alongside strong organizational and interpersonal abilities.
• Capacity to prioritize tasks effectively, managing multiple responsibilities while adhering to deadlines.
• Adaptability to respond to urgent tasks as they arise, with a collaborative approach to working with personnel at all organizational levels.
  
  

Qualifications

• Prior medical billing experience is essential, with an emphasis on exposure to diverse specialties.
  
  

Career Growth Opportunities

We are committed to fostering a supportive environment that encourages ongoing professional development, equipping our team members with the knowledge and skills needed to excel in the healthcare billing landscape.

Company Culture And Values

Our organization thrives on a foundation of collaboration, innovation, and accountability. We value compliance and quality, creating an environment where every team member’s contribution is recognized and valued.

Compensation And Benefits

• Competitive hourly wage of $21.50.
• Health, dental, and vision insurance.
• Employer-paid life insurance, short-term and long-term disability coverage.
• Voluntary life insurance options.
• Employee Assistance Program.
• 48 hours of sick leave after three months and 80 hours of vacation time after six months.
• $400 referral bonuses for successful candidate placements.
  
  

This is an exceptional opportunity to join a forward-thinking organization within the healthcare sector, where you can make a significant impact while advancing your career.

Employment Type: Full-Time