AR Medical Billing Specialist - Ambulatory Outpatient Services

3 days ago

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BizForce

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BizForce is a staffing and productivity partner that provides U. S. -based companies with access to highly skilled professionals, including architects, engineers, designers, and certified staff like billers and coders. The company offers a transparent, direct hiring model that eliminates middlemen and inflated costs, leading to savings of up to 60% over traditional staffing solutions. BizForce specializes in streamlining workforce solutions by integrating vetted employees into clients' existing operations, ensuring high productivity and accountability through software solutions. This scalable staffing approach allows businesses to adjust their workforce according to demand, enhancing productivity while reducing costs and onboarding time. Their services are particularly beneficial for organizations seeking flexibility and scalability in staffing architects and technical professionals efficiently.

11 - 50 employees

🤝 B2B

🎯 Recruitment

⚡ Productivity

📋 Description

• #1 PH Workforce Delivering to the US • MedCore Solutions, the healthcare division of Bizforce, is looking for an experienced Accounts Receivable (AR) Specialist with expertise in Ambulatory/Outpatient Services to join our team. • The ideal candidate will be responsible for managing the complete accounts receivable cycle, ensuring timely claim submissions, resolving payment discrepancies, and improving revenue cycle efficiency. • Key Responsibilities: • Billing and Claims Management: • Prepare, review, and submit claims for procedures. • Monitor and ensure accuracy in claim submissions and compliance with payer requirements. • Accounts Receivable Tracking: • Track and manage outstanding accounts receivable to ensure timely payments. • Follow up with insurance companies and patients to resolve unpaid claims and balances. • Denial Management: • Identify, research, and resolve claim denials or underpayments related to Ambulatory/Emergency services. • Coordinate with coding and billing teams to rectify issues and resubmit claims. • Reconciliations: • Reconcile payments, adjustments, and account balances to maintain accurate financial records. • Ensure all accounts are accurately updated in the system. • Reporting: • Generate AR aging reports and provide insights into trends and challenges in payment cycles. • Contribute to monthly financial reporting for leadership review. • Compliance: • Stay updated on payer policies, coding guidelines, and Ambulatory/Emergency billing regulations. • Ensure compliance with HIPAA and organizational policies.

🎯 Requirements

• Minimum 3 years of experience in AR management, with at least 2 years in healthcare/Ambulatory/Emergency services. • Strong knowledge of Ambulatory/Emergency services billing codes, procedures, and insurance payer policies. • Proficiency in using billing software, AR systems, and Electronic Health Records (EHR) such as HST Pathways, Vision, Advantix, SIS Complete. • Excellent analytical and problem-solving skills. • Exceptional attention to detail and organizational abilities. • Effective communication and negotiation skills for resolving payment issues. • Willing to work in a graveyard shift (US time zone)

🏖️ Benefits

• Permanent Work From Home • Weekly Paychecks • Fixed Weekends Off • Great Company Culture and No Micromanagement • Thriving Company Culture with Complete Autonomy • Unlock Your Potential with a Highly Competitive Salary