Accounts Receivable Specialist

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Advanced Diabetes Supply

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Description

• The Accounts Receivable Specialist III is responsible for processing insurance claims and billing. • Processes claims: investigates insurance claims; and 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. • Acts as a subject matter expert in claims processing. • Manages billing queue as assigned in the appropriate system. • Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement. • Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third-party policy. • 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. • 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. • Assists management and team lead with motivating and coaching employees to succeed as needed. • Maintains accurate and detailed notes in the company system. • Adapts quickly to frequent process changes and improvements. • Is reliable, engaged, and provides feedback as 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.

Requirements

• High School diploma or equivalent • 2 years’ experience with insurance billing and processing claims • 2 years’ 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 • Full knowledge 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 • Discretionary Profit-Sharing Plan • 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!