Accounts Receivable Specialist

Job not on LinkedIn

🔥 15 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Central Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2004

🏥 Healthcare

🏛️ Government

⚕️ Healthcare Insurance

Healthcare • Government • Healthcare Insurance

Central Health is the Travis County Hospital District — a public hospital district and local health authority that coordinates and funds health care services and coverage for residents of Travis County, Texas. It oversees clinical services and community health programs, partners with providers (e. g. , CommUnityCare health centers), administers coverage programs such as the Medical Assistance Program (MAP), provides information about health insurance and marketplace options, and supports health & wellness, patient records, and population health initiatives. Central Health is governed by a Board of Managers and publishes strategic plans, budgets, and reports to the community.

📋 Description

• Report to the Accounts Receivable Supervisor • Support the CommunityCare Revenue Cycle Management team with follow-up and resolution of outstanding insurance claims • Contact insurance carriers daily to follow up on and collect past-due amounts on outstanding medical claims involving denials or benefit changes • Maintain accurate, up-to-date aging of assigned accounts, including accounts receivable analysis and follow-up • Stay educated on billing and medical policies for all payers • Apply knowledge of in-network and out-of-network reimbursement processes and methodologies • Create and follow up on appeals to protest denials or incorrect payments • Review and resolve complex denials and tasks assigned by the payment posting team, including refund requests, disputes and appeals • Work across Revenue Cycle Management departments to resolve claims payment issues • Ensure compliance with company policies, procedures, mission and values, and state and federal regulations • Work with the Accounts Receivable Supervisor to review and resolve open accounts • Promptly identify issues and report them to the direct supervisor • Perform other duties as assigned

🎯 Requirements

• High School Diploma or GED • 3 years of experience managing Accounts Receivable and performing direct follow up with payers • 1 year of experience communicating effectively, both orally and in writing, with insurance payers and internal company communications • 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements • 2 years of experience with data processing and analytical skills • Proficiency in Excel and Microsoft Office Suite • Experience with medical practice management software and electronic medical records • 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures • 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts • Ability to utilize computers for data entry, research and information retrieval • Strong attention to detail, accuracy and multitasking • Highly developed problem-solving skills • Ability to manage high volumes of work and organize and maintain a schedule independently • Ability to effectively monitor steps in claims processing operations • Maintain regular and predictable attendance

🏖️ Benefits

• Remote work arrangement • Regular full-time employment • Monday–Friday schedule, 8:00–5:00 shift