Accounts Receivable Claim Specialist (Fully Remote)
Chicago, IL, US
Description
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. Manage billing, submissions, and successfully resolve billing forms from the clinics, surgery centers, and hospitals related to Balance Health. Will also be expected to identify and present improvement recommendations based on gathered knowledge and experience while working directly with the providers’ documentation and productivity. Determine and assess patient records, review accounts receivable activities, and collect payments. Responsibilities include clear and timely communication with clinicians on a regular basis. This is a fully remote role open to candidates in the following states: AZ, CA, CO, FL, IL, MI, NC, NM, NV, SC, TX, UT, VA, WV.
Our practice helps patients stay active and mobile by providing the best clinical care available across our network of locations. If you meet all the qualifications outlined below and want to join a great team, while committing to working a full-time schedule, we invite you to apply.
ESSENTIAL FUNCTIONS:
- 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 using excellent people, phone etiquette, and excellent communication skills to ensure all parties receive all information necessary and timely.
- Ability to handle challenging situations with extreme patience and professionalism.
Performs miscellaneous job-related duties as requested or assigned
Requirements
QUALIFICATIONS:
To be successful in this role, must be able to perform each of the essential functions noted above in addition to possessing the Education, Training, Knowledge, Skills, Abilities, and Expected Behaviors as follows:
Required:
- High-school diploma or equivalent.
- Minimum 3-years of experience in a relevant AR role, including the following:
- Accurate interpretation of insurance EOBs (Explanation of Benefits)
- Handling medical claims, billing, payment postings, and insurance collections
- Knowledge and full …
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Career growth opportunities Fully remote Supportive team environment
Tasks- Manage billing
- Monitor accounts receivable
- Review claims
Accounts Receivable Billing Claims management Communication Insurance guidelines Microsoft Office Organizational Time Management
Experience3 years
EducationEquivalent High school diploma
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9