Accounts Receivable Specialist – VA/Tricare HB/PB Billing

🔥 1 minute ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $17 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

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This company has sponsored H1B visas in the past.

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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 resolve charge review edits, claim edits, clearinghouse rejections, and payer rejections • Submit accurate electronic and paper insurance claims • Submit non-complex reconsiderations and appeals • Monitor, research, and resolve unpaid, rejected, denied, and allowance-discrepancy claims • Perform account follow-up and collections • Document collection activities in the billing system • Resolve denied and rejected invoices and prepare payer corrections and appeals • Use clinical applications, payer websites, and other systems to retrieve documentation, eligibility information, billing guidelines, referrals, and authorizations • Apply undistributed payments to open balances • Review and resolve correspondence • Request adjustments and respond to patients, insurers, public agencies, internal departments, and third-party payers • Resolve insurance setup errors and billing edits • Evaluate credit/balance accounts, issue refunds, and initiate payer recoupments • Prepare appeals, adjusted and corrected bills, accounts receivable adjustments, and refunds • Answer department calls through a rotation line and direct callers appropriately • Collaborate with Billing, Coding, Cash Posting, and other departments • Perform other duties as assigned

🎯 Requirements

• High School Diploma or GED • Experience with VA/Tricare HB/PB billing • Strong written and oral communication skills • High standard of confidentiality • Ability to handle 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

🏖️ Benefits

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