Accounts Receivable Specialist (2249)
US Heart and Vascular is in need of a Remote Accounts Receivable Specialist to join our team.
Responsibilities:
Responsible for billing all patient claims in a timely manner
Perform basic claims follow up activities to include claim status checks, basic claim edits corrections and rebills.
Work daily claims rejection lists including but not limited to, eligibility, coordination of benefits, clearinghouse smart edits, etc.
Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions.
Establish and maintain effective working relationships with carrier representatives and internal and external clients. Remain abreast of carrier/payer updates as it relates to Billing and Collections guidelines including claim submissions, claim appeals, grievance procedures and policy changes
Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc.
Responsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud and Abuse laws.
Requirements:
High School Diploma or equivalent required
Knowledge of the accounts receivables (A/R) process
Bachelor's Degree in a related field preferred but not required
Minimum of 3 years of healthcare or insurance billing processing experience required
Knowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulations
eClinicalWorks experience preferred but not required
Proficient in medical terminology, anatomy, and physiology
Strong knowledge of ICD-1O coding
Familiarity with medical office procedures and billing practices
Apply Now
Responsibilities:
Responsible for billing all patient claims in a timely manner
Perform basic claims follow up activities to include claim status checks, basic claim edits corrections and rebills.
Work daily claims rejection lists including but not limited to, eligibility, coordination of benefits, clearinghouse smart edits, etc.
Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions.
Establish and maintain effective working relationships with carrier representatives and internal and external clients. Remain abreast of carrier/payer updates as it relates to Billing and Collections guidelines including claim submissions, claim appeals, grievance procedures and policy changes
Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc.
Responsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud and Abuse laws.
Requirements:
High School Diploma or equivalent required
Knowledge of the accounts receivables (A/R) process
Bachelor's Degree in a related field preferred but not required
Minimum of 3 years of healthcare or insurance billing processing experience required
Knowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulations
eClinicalWorks experience preferred but not required
Proficient in medical terminology, anatomy, and physiology
Strong knowledge of ICD-1O coding
Familiarity with medical office procedures and billing practices
Apply Now