Accounts Receivable Specialist

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🕒 vor 18 Tagen

🌵 Arizona, Florida, +10 weitere Bundesländer – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote ⚜️ Louisiana – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote 🏰 Missouri – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote

💵 $47.000 - $52.000 / Jahr

⏰ Vollzeit

🟢 Junior

🟡 Mittelstufe

💰 Debitorenbuchhalter

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Connecting for Better Health

WebsiteLinkedInAlle Stellen

1 - 10 Mitarbeiter

Gegründet 2021

🏥 Gesundheitswesen

💼 Beratung

⚖️ Rechtswesen

Healthcare • Consulting • Legal

Connecting for Better Health ist eine gemeinnützige Koalition, die sich der Verbesserung des Austauschs von Gesundheits- und Sozialdienstdaten in Kalifornien widmet. Die Organisation vereint Anbieter, Betreuer, Krankenversicherungen, Befürworter und Gemeinschaftsorganisationen, um gemeinsam an der Verbesserung der Richtlinien für den Datenaustausch zu arbeiten. Ihre Initiative fördert das Data Exchange Framework (DxF), das sichere und effiziente Austausche von Informationen aus dem Gesundheits- und Sozialwesen erleichtert, um eine bessere ganzheitliche Versorgung zu unterstützen.

Beschreibung

• Manage assigned insurance accounts receivable to ensure timely reimbursement and reduce aging balances. • Follow up with insurance payers on outstanding claims, underpayments, denials, and payment discrepancies. • Investigate and resolve claim denials by submitting corrected claims, appeals, reconsiderations, and supporting documentation in accordance with payer requirements. • Review claim edits and rejections to ensure accurate resubmission and minimize future denials. • Accurately post insurance payments, adjustments, and remittances into the billing system. • Perform daily payment reconciliation by ensuring posted payments align with electronic remittance advice (ERA), explanation of benefits (EOB), bank deposits, and payment reports. • Research and resolve unapplied cash, payment variances, overpayments, and underpayments. • Reconcile payer payments against contracted reimbursement rates and escalate payment discrepancies as appropriate. • Maintain accurate documentation of AR activities, payer communications, payment research, and resolution outcomes. • Respond professionally and empathetically to patient inquiries regarding insurance claims, billing statements, payment activity, balances, and Oshi's billing model, policies, procedures, and applicable healthcare regulations. • Maintain open communication with providers, payers, and internal stakeholders to investigate, resolve, and prevent claim and payment issues. • Collaborate with Billing, Eligibility & Benefits, Credentialing, Finance, Clinical Operations, and other cross-functional teams to resolve reimbursement issues and improve revenue cycle performance. • Analyze accounts receivable, payment, and denial data to identify trends, root causes, and opportunities for process improvement. • Monitor and report on AR performance, payment posting accuracy, denial trends, aging, and other key revenue cycle metrics, providing insights and recommendations to leadership. • Support month-end close activities, payment balancing, reporting, and audit requests. • Identify recurring reimbursement or operational issues and recommend process improvements to improve payment accuracy, accelerate cash collections, and reduce denials. • Ensure compliance with organizational policies, payer requirements, financial regulations, HIPAA, and healthcare billing standards while maintaining accuracy and integrity in all revenue cycle activities.

🎯 Anforderungen

• Bachelor's Degree in Business Administration or relevant course work. • 2+ years of healthcare revenue cycle experience with a focus on accounts receivable, payment posting, or insurance billing. • Knowledge of medical billing, insurance claims processing, and payer reimbursement. • Experience resolving claim denials, underpayments, and payment discrepancies. • Experience posting payments and reconciling ERAs, EOBs, deposits, and unapplied cash. • Experience working successfully in a remote work environment with the ability to manage priorities independently. • Proficiency with EMR and medical billing systems. • Strong analytical, problem-solving, and organizational skills with excellent attention to detail. • Excellent communication and customer service skills. • Proficiency with Google Workspace (Sheets, Docs, Gmail) and the ability to quickly learn new systems and technology.

🏖️ Vorteile

• Health Benefits: Employer-sponsored medical, dental, and vision coverage • Time Off: Unlimited PTO + 11 paid company holidays • Retirement: Eligibility to contribute to 401(k) • Work Style: Remote-first — work from home within our approved states • Growth: Tailored professional development opportunities as we scale • Life Concierge: Access to Overalls, because we know life happens