Accounts Receivable Specialist II

November 15

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Advanced Diabetes Supply

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501 - 1000 employees

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Description

• The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. • Processes claims: investigates insurance claims; properly resolves by follow-up & disposition. • Verifies patient eligibility with secondary insurance company when necessary. • Bills supplemental insurances including all Medicaid states on paper and online. • Mails all paper claims. • Manages billing queue as assigned in the appropriate system. • Investigates and updates the system with all information received from secondary insurance companies. • Ensures that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgement in any changes that may need to be made. • Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy. • Updates patient files for insurance information, Medicare status, and other changes as necessary or required. • Keeps email inbox requests up to date; checks for new messages on an hourly basis. • Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information. • Maintains accurate and detailed notes in the company system. • Adapts quickly to frequent process changes and improvements. • Is reliable, engaged, and provides feedback to improve processes and policies. • Attends all department, team, and weekly company meetings as required. • Appropriately routes incoming calls when necessary. • Meets company quality standards. • Embraces and exemplifies ADS core values: We put our people first. We serve our members with passion. We take ownership. We pursue excellence. We never stop growing.

Requirements

• High School diploma or equivalent • 1 year experience with insurance billing and processing claims • 1 year experience with Medicare claims, and Medicare and private insurance verification • Knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices • Knowledge of, or ability to learn all areas of collections specialization • Proficiency in basic math and business calculations • Working knowledge of computer/data entry with the ability to learn new systems • Basic level of MS Office proficiency

Benefits

• Health, Dental & Vision options • FSA and HSA plan with Employer Contribution • Employer paid EAP • 401k with 4% Company Match • Paid Time Off (PTO) Including 7 Paid Holidays and a Birthday Holiday • On-Site Gym • In-house Training Programs • A fun culture in a fast-growing organization!