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Accounts Receivable Claim Specialist - Remote

Posted 1 week ago
Balance Health logo

Balance Health

Finance / Legal
Full Time
USA
$23 - $28/hour

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Overview

Balance Health is the nation’s premier comprehensive lower-extremity focused Physician Practice located. Our team has an immediate need to hire a reliable, hard-working, experienced AR Claim Specialist. This is a full-time, fully remote role and will be responsible for reviewing claims activity for billing and submitting claims in the revenue cycle billing and claims functions.

In Short

  • Analyze and follow up on rejected and/or unpaid claims according to established standards.
  • Work MGRHOLD and HOLD buckets as required by productivity measures.
  • Reviews and appeals unpaid and/or denied claims with insurance carriers.
  • Audit and Analysis of Regulatory Billing Practices.
  • Determine accuracy of Insurance payments following up on any identified discrepancies.
  • Run and build routine required and ad hoc reports.
  • Efficiently monitors both Accounts Receivable (‘AR’) and Collections.
  • Identifies and properly bills secondary or tertiary insurances.
  • Responds to billing questions directly with patients and/or insurance companies.
  • Ability to handle challenging situations with extreme patience and professionalism.

Requirements

  • High-school diploma or equivalent.
  • Minimum 3-years of experience in a relevant AR role.
  • Accurate interpretation of insurance EOBs.
  • Handling medical claims, billing, payment postings, and insurance collections.
  • Knowledge of insurance guidelines, particularly with Medicare and Medicaid.
  • Effective time management and organizational skills.
  • Ability to communicate logically and clearly.
  • PC Proficient with good working knowledge of Microsoft Office.
  • Legal eligibility to work in the United States without sponsorship.
  • Ability to successfully pass an in-depth background investigation.

Benefits

  • Fully remote full-time position working Monday – Friday.
  • Competitive pay range of $23 - $28 per hour.
  • Eligible to participate in company benefit program after 30-days of employment.
  • Eligible to participate in 401(k) program with company match after 2-months of employment.

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