This is a 6 month contract position with the potential to go permanent based on business needs.
The Account Receivable Specialist I (ARSI) will be responsible for resolving aged and unresolved claims with insurance carriers' claims. This position requires a comprehensive understanding of the operational aspects of the entire revenue cycle as well as the appropriate measures to take in resolving claim issues with payers. This role will work closely with the Revenue Cycle Manager and Patient Access department. The ARS I will uphold strict adherence to all pertinent laws, regulations, and internal CND policies, ensuring the integrity and legality of all financial activities.
Job Responsibilities:
Manage aging accounts by contacting third-party payers via website/telephone/mail for payment status.
Manage outbound insurance calls navigating between several different software systems for data.
Research billing discrepancies to find account resolution.
Evaluate the information received from the clinic to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.
Ensure the integrity of each claim that is billed.
Meet department goals and objectives as assigned. .
Foster positive and collaborative partnerships with state and Federal agencies. Resolve accounts with department in accordance with department objectives.
Uphold account confidentiality standards per company policies.
Assist with other projects as assigned by management.
Collaborates with Revenue Cycle team and Manager to prioritize assignments on prevailing issues and organizational requirements.
Knowledge, Skills & Experience:
Minimum 3+ years in medical billing/revenue cycle experience with laboratory billing preferred.
3+ years of billing related experience preferred (experience with laboratory billing a plus)
Strong knowledge of the revenue cycle
Knowledge of Medicare, Medicaid, Tricare, and other federal and commercial insurance
Knowledge of the current ICD-10 and CPT coding system
Excellent written, verbal, and interpersonal communication skills are essential, and one must communicate technical concepts clearly to a diverse audience.
Demonstrated professional poise and empathy while engaging patients and clinicians.
Strong problem solving and analytics skills.
Ability to effectively multitask with a high level of accuracy.
Strong computer-based skills, specifically with Microsoft Word, Excel and PowerPoint, Salesforce, Medisoft and data analysis. Ability to work independently and collaboratively in a team environment.
Experience with Salesforce, Waystar, TriZetto, and Quadax preferred.
Knowledge of business processes, accounting principles, billing practices, medical terms, CPT, and ICD10 coding
Education, Certifications & Licensures:
High School diploma or general education degree required.
Additional coursework or education (e.g., billing certificate, AA, or bachelor's degree) with a focus on billing or related area preferred.
Special Training:
Salesforce, Quadax, TriZetto, Waystar
Other:
This is a full-time remote opportunity for the Eastern standard time zone.
It may require quarterly meetings at the company's Scottsdale, AZ headquarters or regional office in Atlanta.
This is a 6-month contract with opportunities for extensions subject to evaluation ba sed on business needs.
This is a 6 month contract position with the potential to go permanent based on business needs.
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