Accounts Receivable Specialist

🔥 13 hours ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Crossroads

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2005

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Crossroads is an outpatient treatment provider for people dealing with substance use disorders, specializing in medication-assisted treatment (MAT). They offer a comprehensive approach to recovery, including FDA-approved medications, peer support, care coordination, counseling, and contingency management, personalized to the unique needs of each patient. By providing convenient access to services through a 24/7/365 patient access center, virtual appointments, and their Instant Intake® service, Crossroads facilitates recovery journeys across multiple states, such as Georgia, Kentucky, New Jersey, North Carolina, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia. Dedicated to high-quality, evidence-based care, Crossroads supports their community with resources and partnership programs to ensure a compassionate and successful path to recovery.

📋 Description

• Work unpaid claims in EMR systems timely and accurately • Follow up with payors on open balances to ensure prompt and accurate payment • Correct and resubmit claims in EMR systems and/or clearinghouses • Submit timely, valid, and well-documented adjustments with management approval • Research unpaid claims through payor phone calls, web portals, and written guidelines • Maintain clear, concise, and up-to-date account-status documentation • Communicate and document issues found during claim follow-up • Identify billing issues, including codes and modifiers, and communicate them to appropriate staff • Maintain daily productivity levels • Report daily key performance indicators through reporting tools • Assist with training and guiding team members • Assist with projects and perform other assigned duties • Self-report at the end of each business day • Support productivity verification using User Performance reporting in Waystar (OTP) and analysts’ spreadsheets

🎯 Requirements

• Must have had at least 3 years accounts receivable experience in a physician office setting • General Knowledge of HCPCS, CPT-4 and ICD-10 coding and/or medical terminology • Familiar with multiple payer requirements, including Medicaid, Medicare, and/or commercial insurance follow up, and regulations for claims processing • Research and analysis of unpaid and denied claims including payor communication, resubmissions, and appeals • Must have a High School Diploma/GED • Required schedule is Monday through Friday from 9:00 AM to 5:00 PM • EST preferred • Productivity of 50 claims per day minimum • Understanding and adherence to state and federal regulations and system policies regarding compliance, HIPAA, integrity, and ethical billing practices

🏖️ Benefits

• Excellent training if you are new to this field • Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate • Community events that promotes belonging and education, including community cook outs, fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events • Opportunity to save lives everyday • Medical, Dental, and Vision Insurance • PTO • Variety of 401K options including a match program with no vesture period • Annual Continuing Education Allowance (in related field) • Life Insurance • Short/Long Term Disability • Paid maternity/paternity leave • Mental Health day • Calm subscription for all employees