Insurance Accounts Receivable Specialist I

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Solaris Health

WebsiteLinkedInAlle Stellen

1001 - 5000 Mitarbeiter

Gegründet 2020

⚕️ Krankenversicherung

🏥 Gesundheitswesen

🧬 Biotechnologie

Healthcare Insurance • Healthcare • Biotechnology

Solaris Health ist eine führende nationale Gesundheitsplattform, die sich verpflichtet hat, den Zugang zu spezialisierten Gesundheitsdiensten zu verbessern und kontinuierlich die Patientenergebnisse zu optimieren. Mit über 1 Million einzigartigen Patienten jährlich und mehr als 730 Anbietern im ganzen Land betreibt Solaris Health über 236 Patientenbüros in 14 Bundesstaaten und konzentriert sich auf die innovative Bereitstellung von hochwertiger, wertorientierter Versorgung.

Beschreibung

• Perform billing-related tasks as assigned, including data entry, claim review, charge review, and accounts receivable follow-up. • Focus on resolving entry-level insurance denials, such as those related to medical records, eligibility, and coordination of benefits (COB). • Complete daily tasks within assigned work queues based on manager direction and established workflows. • Utilize CBO Pathways, payer websites, billing systems, and training materials to determine appropriate actions for resolving unpaid or underpaid claims and authorizing procedures. • Identify potential issues related to payer requirements, provider credentialing, or coding, and escalate to management as appropriate. • Review reports to identify unpaid claims and potential revenue opportunities. • Communicate effectively with providers, patients, coders, and other stakeholders to ensure accurate and timely claims processing. • Adhere to departmental workflows, operational policies, compliance guidelines, and regulatory requirements, including FGP and patient confidentiality standards. • Provide input on system edits, process improvements, policies, and billing procedures to support revenue cycle optimization. • Participate in meetings and workgroups, complete all required training sessions, and actively seek additional training when needed. • Read and apply policies and procedures to make informed decisions, coordinate functions with team members, and explain processes clearly to others. • Make system corrections and resubmit claims as necessary to meet payer requirements. • Performs other position related duties as assigned.

🎯 Anforderungen

• 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.

🏖️ Vorteile

• 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