Accounts Receivable Specialist – EPIC PB, Billing and Denial Experience

🔥 13 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $17 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Carle Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

🏥 Healthcare

📚 Education

Healthcare Insurance • Healthcare • Education

Carle Health is a comprehensive healthcare provider dedicated to managing the health needs of its community. Offering a wide range of services, from general medical care to specialized treatments in oncology, cardiovascular, pediatrics, and women's health, Carle Health emphasizes quality patient care and community health initiatives. Additionally, it supports education and research through the Carle Illinois College of Medicine and engages in community health programs that aim to improve overall well-being.

📋 Description

• Manage accounts receivable according to compliance, regulatory, billing, and payer guidelines • Collect outstanding receivables through payer portals and phone lines • Validate coverage and accurately bill insurance claims • Resolve charge review edits, claim edits, clearinghouse rejections, payer rejections, unpaid claims, denied claims, and allowance discrepancies • Submit non-complex reconsiderations and appeals to health insurance carriers • Follow up on outstanding receivables and complete account collections • Answer, document, and resolve inquiries from insurance companies, internal departments, patients, public agencies, and third-party payers • Research medical documentation, eligibility information, billing guidelines, referrals, and authorizations using clinical applications and payer websites • Apply undistributed payments to open balances • Review correspondence and request account adjustments • Resolve insurance setup errors and facilitate timely billing • Evaluate credit/balance accounts, issue refunds, and initiate payer recoupments • Prepare corrected bills, adjust accounts receivable entries, and prepare refunds as needed • Answer or direct departmental calls through a rotation line • Collaborate with Billing, Coding, Cash Posting, and other departments • Perform other duties as assigned

🎯 Requirements

• High School Diploma or G.E.D • Must have EPIC PB, Billing and Denial Experience • Strong written and oral communication skills • High standard of confidentiality • Ability to deal with a large volume of work • Ability to multitask • Ability to manage confidential information in a HIPAA-compliant way • Strong problem-solving and critical thinking skills • Ability to take initiative, accept direction, and seek guidance appropriately • Ability to analyze accounts and determine appropriate action • Monday-Friday availability, 8:00am-5:00pm

🏖️ Benefits

• Comprehensive benefits package • Equal Opportunity Employer • E-Verify participation