Insurance Accounts Receivable Specialist I

🕒 October 20

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 10%

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Solaris Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🏥 Healthcare

🧬 Biotechnology

Healthcare Insurance • Healthcare • Biotechnology

Solaris Health is a leading national healthcare platform committed to enhancing access to specialty healthcare and continually improving patient outcomes. With over 1 million unique patients annually and 730+ providers across the country, Solaris Health operates 236+ patient offices in 14 states, focusing on innovative delivery of high-quality, value-driven care.

📋 Description

• Perform billing-related tasks including data entry, claim review, charge review, and accounts receivable follow-up • Resolve entry-level insurance denials related to medical records, eligibility, and coordination of benefits • Complete daily tasks in assigned work queues according to manager direction and established workflows • Use CBO Pathways, payer websites, billing systems, and training materials to resolve unpaid or underpaid claims and authorize procedures • Identify payer requirement, provider credentialing, and coding issues and escalate complex matters to management • Review reports to identify unpaid claims and potential revenue opportunities • Communicate with providers, patients, coders, and other stakeholders to ensure accurate and timely claims processing • Adhere to workflows, operational policies, compliance guidelines, regulatory requirements, HIPAA, and Solaris Health policies • Provide input on system edits, process improvements, policies, and billing procedures • Participate in meetings and workgroups and complete required training • Read and apply policies and procedures, coordinate functions with team members, and explain processes • Make system corrections and resubmit claims as necessary • Report suspected compliance concerns or violations • Perform other position-related duties as assigned

🎯 Requirements

• High school diploma or equivalent required • Previous experience in a customer service or healthcare setting preferred • Excellent interpersonal and communication skills • Strong customer service orientation and a friendly, approachable demeanor • Basic knowledge of medical facility layout and department functions; training provided • Dependability and punctuality • Ability to work independently and as part of a team • Cultural sensitivity and ability to interact respectfully with diverse populations • Skill in using computer programs and applications including Microsoft Office • Ability to follow departmental workflows, operational policies, compliance guidelines, and regulatory requirements • Ability to maintain patient confidentiality in compliance with HIPAA • Ability to complete required compliance training • No certifications, licensures, or registry requirements (N/A) • No required travel (N/A)

🏖️ Benefits

• PTO • Holiday pay • Health insurance • Dental insurance • Vision insurance • Life insurance • Pet insurance • Health savings account • Paid sick time • Paid time off • Paid holidays • Profit sharing • Retirement plan • Fully remote position • No weekends, no evenings, no holidays

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