Accounts Receivable Specialist

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GoHealth Urgent Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2014

⚕️ Healthcare Insurance

🏥 Healthcare

📡 Telecommunications

Healthcare Insurance • Healthcare • Telecommunications

GoHealth Urgent Care is a healthcare provider that offers on-demand urgent care services both in-person and virtually. Patients can book virtual visits for various health concerns ranging from allergies to injuries, as well as access physical centers across multiple states. GoHealth aims to increase access to quality healthcare while ensuring a convenient, efficient, and compassionate experience for all patients.

📋 Description

• Follow up on unpaid claims using monthly aging reports • File appeals with appropriate documentation to obtain maximum reimbursement • Maintain accurate patient, guarantor, insurance, account, and billing data • Manage accounts receivable through full lifecycle resolution • Submit claims via clearinghouses or directly to payers • Monitor, research, and resolve claim denials • Contact insurance carriers to address payment issues • Process claim retractions, write-offs, and contractual adjustments according to payer guidelines • Ensure claim accuracy and compliance by entering billing, diagnosis, procedure, modifier, and provider information • Verify insurance payments for accuracy and contract compliance • Post insurance and patient payments within billing systems • Coordinate secondary billing for patients with multiple insurers • Respond to inquiries from patients, providers, and insurance companies • Assist with inbound calls as needed • Verify insurance eligibility and benefits coverage • Collaborate with Team Leaders, Section Leaders, and cross-functional teams • Provide updates, escalate issues, and support workflow efficiency • Deliver excellent customer service to internal and external stakeholders • Adhere to HIPAA regulations and safeguard patient information

🎯 Requirements

• High school diploma or GED required • 3+ years of healthcare billing accounts receivable experience in a mid-to-large organization required • Preferred: 3+ years of Healthcare AR experience with large complex physician practice groups • Preferred EMR experience across at least one platform, such as Epic or Clinical Works • Preferred CPAR – Certified Patient Account Representative • Preferred Certified Medical Billing Specialist certification • Preferred Associate’s degree in Healthcare Management, Health Information Management, or related field • Working knowledge of CPT and ICD coding • Knowledge of basic medical terminology • Understanding of insurance guidelines, including Medicare, state Medicaid, and workers’ compensation across multiple states • Ability to interpret and understand Explanation of Benefits (EOBs) • Ability to accurately calculate deductibles and coinsurance • Ability to maintain strict patient confidentiality • Excellent verbal and written communication skills • Strong phone etiquette and customer service skills • Ability to communicate effectively with patients regarding medical conditions and financial responsibilities • Ability to represent the department professionally when interacting with patients, guests, physicians, and staff • Ability to handle service issues tactfully and professionally and ensure appropriate follow-through • Proficiency in Microsoft Office applications, including Excel and Word • Strong organizational and time management skills with the ability to prioritize effectively • Proficiency in computer systems and typing • Strong attention to detail, including mathematical accuracy • Ability to work collaboratively across departments • Flexibility and openness to new ideas and approaches • Ability to remain focused and productive under pressure • Must adhere to HIPAA regulations and safeguard patient information • Ability to lift, carry, push, or pull materials, supplies, and equipment up to 10 lbs. • Travel may be required • May require safety equipment for infection prevention

🏖️ Benefits

• Fully remote work arrangement • Equal employment opportunity • Reasonable accommodations for qualified individuals with disabilities • Travel may be required, including travel between Company locations and out-of-town destinations as needed • Safety equipment may be provided/required for infection prevention