Insurance Accounts Receivable Specialist I

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🕒 3 days ago

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Solaris Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🧬 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 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.

🎯 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.

🏖️ Benefits

• 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