AR Specialist – Medicare

Job not on LinkedIn

🔥 14 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

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👻 Ghost score 10%

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Infinx

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Venture Round on 2021-11

Healthcare • Consulting • Logistics

Infinx is a company that specializes in optimizing the healthcare revenue cycle through advanced technology solutions. It offers a comprehensive platform that automates and enhances processes such as prior authorizations, eligibility verifications, medical coding, billing, and revenue acceleration. By leveraging artificial intelligence, automation, and integrations within healthcare systems, Infinx helps healthcare providers streamline patient access and maximize reimbursements. The company works closely with healthcare providers, including hospitals, physician groups, and specialty centers, to address their revenue cycle challenges effectively. Infinx's solutions aim to reduce denials, improve claim accuracy, and enhance patient satisfaction, thereby allowing providers to focus more on delivering high-quality care.

📋 Description

• Process accounts receivable payments and adjustments • Research and promptly resolve AR discrepancies • Follow up on outstanding and aged receivables • Maintain organized AR documentation • Identify opportunities to improve AR processes • Manage RTP and denied claims, determine root causes, and provide requested information to health plans • Prepare and submit appeals and reconsiderations to health plans • Support accounts receivable processes to drive revenue optimization for Medicare accounts • Perform payment posting, adjustments, AR research, follow-up, and reporting • Collaborate on process improvements • Perform other duties as assigned

🎯 Requirements

• Minimum 3 years of experience in hospital and physician claims follow-up and denials management • Medicare billing or Medicare follow-up experience strongly preferred • Proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC, and Provider-based billing and AR follow-up • Solid understanding of billing regulations related to Medicare and Medicare Advantage • Ability to function independently and complete timely, thorough follow-up on unresolved hospital and physician claims • Strong proficiency managing RTP and denied claims, determining root causes, and providing requested information to health plans • Strong proficiency preparing and submitting appeals and reconsiderations to health plans • Ability to adapt quickly to proprietary tools and technology • Proficiency with hospital EMRs including Cerner, Epic, McKesson, CPSI, and Meditech • Proficiency with billing systems including Waystar, SSI, Quadax, and Availity • Proficiency with Medicare DDE system • Proficiency in MS Excel and MS Outlook • Excellent written and verbal communication skills • Excellent organizational, time management, and interpersonal skills • Applicants must submit a full CV, cover letter, and updated resume • Must currently live in the United States, as indicated by the application question

🏖️ Benefits

• Access to a 401(k) Retirement Savings Plan • Comprehensive Medical, Dental, and Vision Coverage • Paid Time Off • Paid Holidays • Pet Care Coverage • Employee Assistance Program (EAP) • Discounted services • Flexible work hours when possible • Dynamic and growing organization with a work environment fostering creativity, teamwork, collaboration, and fresh thinking • Professional mentoring and career-path opportunities

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