Accounts Receivable Specialist - Remote

About the role

The Accounts Receivable Specialist submits billing to the appropriate party and follows-up for adjudication and payment of individual claims. Communicates with insurance and other payers, patients, guarantors, family members, and/or other medical staff for status of individual claims to manage accounts receivable. Job Description: KEY ACCOUNTABILITIES: Performs comparative analysis for accuracy of bill before submission to appropriate parties (i.e., charges, subscriber data, diagnosis/procedure codes, and late charges). Processes claims in a timely manner according to contracts, regulations, department standards, and form requirements. Generates phone calls to all parties to check status of unprocessed, unpaid, or rejected claims ensuring accurate and timely reimbursement. Processes variety of correspondence from all parties taking appropriate steps to expedite timely resolution of claims payment. Verifies insurance/payer and patient demographic information for accuracy of data collected at time of registration when appropriate. Inputs verification data to complete in-house claims generation of billing forms. Re-bills accounts when new information is received requiring account updates with appropriate demographic and third party information to ensure payment. Updates patient record to indicate changes made. Reviews internal and external reports for claims status.