Accounts Receivable Specialist
November 5
Description
• We are seeking an Accounts Receivable Specialist to join our client's team! • As an AR Specialist, you will play a crucial role in managing financial transactions related to receivables. • Your responsibilities will include processing invoices, reconciling accounts, and ensuring timely collections. • We are seeking a detail-oriented professional who can contribute to the financial health of our organization. • Reviewing and Approving OTP Billing: Ensure accurate and timely processing of billing transactions related to outpatient treatment programs (OTP). • Investigating Denials and EOB (Explanation of Benefits): Analyze claim denials and EOBs to identify discrepancies and resolve issues promptly. • Stay informed about Medicare regulations and managed care organizations (ACO/MCOs) to optimize billing processes. • Verify payment rates against contractual agreements and reconcile any discrepancies. • Perform audits on assigned claims, ensuring compliance and accuracy. • Handle both manual and electronic processing of billing denials efficiently.
Requirements
• 2-3 years of experience in accounts receivable or billing in the behavior health field required. • High School Diploma or GED (required). • Proficiency in CPT, ICD-10, and HCPC coding, along with familiarity with medical terminology. • Overall understanding of managed care products (HMO, PPO, ACO, MCO, etc.). • Ability to work independently and remotely while maintaining daily and monthly routines. • Skilled at reading and comprehending explanations of benefits (EOBs). • Strong working knowledge of Medicare and Medicaid benefits. • Ability to analyze complex billing scenarios and solve related issues. • Meticulous attention to detail in billing processes. • Collaborative attitude and ability to work effectively within a team. • Demonstrates a positive outlook and effective time management skills. • Basic proficiency in Microsoft Word and Excel. • Maintains precise billing records, generates reports, and identifies discrepancies. • Competent in monitoring AR and ensuring correct payment rates from payers.
Apply NowSimilar Jobs
November 4
Accounts Receivable Rep for Revenue Cycle Management in healthcare billing.
🇺🇸 United States – Remote
💰 Private Equity Round on 2022-05
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧑🏫 Bookkeeping and Clerks
November 4
Manage bookkeeping and payroll services for independent optometric practices.
November 3
Manage US payroll and coordinate with UK team for payroll processing.
November 3
AR Claim Specialist at Balance Health, managing billing and claims functions.
November 3
Manager overseeing revenue cycle services for QualDerm's dermatology practices.
🇺🇸 United States – Remote
💰 Venture Round on 2016-02
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧑🏫 Bookkeeping and Clerks