AR Specialist, Medicare

🔥 20 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

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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 resolve AR discrepancies promptly • Follow up on outstanding/aged receivables • Maintain organized AR documentation • Identify opportunities to improve AR processes • Have proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC, and Provider-based billing and AR follow-up knowledge • Have a solid understanding of billing regulations related to Medicare and Medicare Advantage • Be able to function independently to complete timely and thorough follow-up on unresolved hospital and physician claims • Have strong proficiency in managing RTP and denied claims, including the ability to determine the root cause, and providing requested information to health plans to resolve identified issues • Have a strong proficiency in preparing and submitting appeals and reconsiderations to health plans • Adapt quickly to proprietary tools and technology • Other duties as assigned

🎯 Requirements

• 5 years of hospital and physician claims follow-up and denials management • 3 years of Medicare billing or Medicare follow-up experience • Proficiency with hospital EMRs: Cerner, Epic, McKesson, CPSI, Meditech, etc. • Proficiency with various billing systems: Waystar, SSI, Quadax, Availity, etc. • Proficiency with Medicare DDE system • Proficiency in MS Excel and MS Outlook • Excellent written and oral communication skills • Excellent organizational, time management, and interpersonal skills

🏖️ Benefits

• Full benefits to include 401k with company match • Progressive PTO policy with paid holidays