AR Specialist

Job not on LinkedIn

🔥 14 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Review and submit accurate hospital inpatient, outpatient, emergency department, observation, swing bed, and ancillary service claims • Verify demographics, insurance coverage, authorizations, and coding completeness before submission • Monitor electronic claim submissions and resolve claim edits and rejections • Use clearinghouse tools to identify and correct rejected claims promptly • Collaborate with Patient Access, Health Information Management, Coding, and Clinical departments to resolve billing issues • Follow up on unpaid and underpaid insurance claims • Investigate and resolve claim denials, rejections, and payer correspondence • Appeal denied claims according to payer guidelines and timely filing requirements • Monitor aging reports and prioritize accounts based on balance, payer, and filing deadlines • Identify root causes of payment delays and recommend corrective actions • Document payer contracts, actions taken, and account resolutions in the patient accounting system • Communicate with commercial insurance carriers, Medicare Advantage plans, Medicaid, and Blue Cross Blue Shield representatives regarding claim status and payment disputes • Maintain knowledge of payer-specific billing requirements and reimbursement methodologies • Monitor payer trends and communicate recurring issues to leadership • Meet productivity and collection goals established by leadership • Reduce aged receivables and improve cash optimization • Maintain compliance with federal, state, payer, and hospital regulations • Adhere to HIPAA privacy and security standards • Follow Critical Access Hospital billing and reimbursement guidelines • Support internal and external audits as requested

🎯 Requirements

• Applicants must submit a full CV, cover letter, and updated resume • High School Diploma or GED • Minimum 3 years of hospital billing and/or accounts receivable follow-up • Experience using MEDITECH hospital information system preferred • Experience using Waystar clearinghouse and revenue cycle tools preferred • Experience with Blue Cross Blue Shield (BCBS) payer billing and follow-up preferred • Experience with Medicare Advantage payer follow-up and denial resolution preferred • Critical Access Hospital billing experience strongly preferred • Knowledge of hospital revenue cycle processes including claim submission, payment posting review, denial management, appeals, and collections • Experience working insurance balances and payer correspondence • Strong understanding of Medicare, Medicaid, commercial insurance, and hospital billing regulations • Knowledge of Medicare cost-based reimbursement methodologies applicable to CAHs preferred • Excellent written and verbal communication skills • Strong analytical and problem-solving abilities • Proficient in Microsoft Excel, Outlook, and other Microsoft Office applications • Must currently live in the United States • Must indicate whether sponsorship is required now or in the future

🏖️ Benefits

• Flexible work hours when possible • 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 • Professional development and career path exploration • Mentorship opportunities

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