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.