Accounts Receivable Claim Specialist - Remote

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.