Accounts Receivable Specialist

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🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

⏰ Full Time

🟢 Junior

💰 Accounts Receivable

🚫👨‍🎓 No degree required

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ThedaCare

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

ThedaCare is a non-profit healthcare organization that has been serving the communities of Northeast and Central Wisconsin for over a century. ThedaCare operates seven hospitals and 35 clinics, providing access to a wide range of medical services including cancer treatment, orthopedic care, trauma services, and cardiovascular programs. With a commitment to delivering high-quality healthcare, ThedaCare serves more than 235,000 patients annually and collaborates with Mayo Clinic specialists to enhance patient care.

📋 Description

• Review, analyze, and process billed claims for accuracy upon submission, including charges, subscriber data, diagnosis and procedure codes, late charges, and supporting documentation • Submit claims timely according to payer contracts, federal and state regulations, departmental standards, and form requirements • Follow up with commercial, governmental, and other payers by phone, correspondence, and electronic systems to resolve unpaid, underpaid, denied, or rejected claims • Identify reasons for denials, underpayments, and payment delays and take corrective action to secure reimbursement • Prepare, draft, and submit technical and clinical appeals with accurate and complete documentation • Re-bill accounts when updated demographic, insurance, or third-party information is received and update patient records • Verify insurance, payer, and patient demographic information and enter verification data into billing systems • Review reports to monitor claim status, payment variances, denial trends, and outstanding accounts • Document account activity, including payer contacts, correspondence, and actions taken, in the host system or tracking tools • Maintain knowledge of payer-specific requirements, contracts, and applicable regulations • Identify accounts receivable trends and root causes and communicate findings and recommendations to management • Determine appropriate collection strategies to resolve accounts • Meet productivity and quality standards

🎯 Requirements

• One year of previous experience in Revenue Cycle/Medical billing, follow-up and collections, or a related degree/certification in Healthcare Management • Proficiency in basic computer applications, including Microsoft Excel • High school diploma or GED preferred • Strong verbal and written communication skills • Must be at least 18 years of age • Ability to move freely, including standing, stooping, walking, bending, pushing, and pulling • Ability to lift up to 25 pounds without assistance

🏖️ Benefits

• Lifestyle Engagement benefits, including health coaches, relaxation rooms, health-focused apps (Wonder, Ripple), and mental health support • Access & Affordability benefits, including minimal or zero copays, team member cost sharing premiums, and daycare • Continued opportunities for learning and development • Accessible and transparent leadership • Commitment to work/life balance