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 and file appeals to obtain maximum reimbursement • Maintain accurate account and billing data, including patient, guarantor, insurance, procedure, and payment information • Manage accounts receivable through full lifecycle resolution • Submit claims via clearinghouses or directly to payers • Monitor, research, and resolve claim denials and payment issues • Contact insurance carriers and file appeals with appropriate documentation • Process claim retractions, write-offs, and contractual adjustments according to payer guidelines • Review and post insurance and patient payments and coordinate secondary billing • Respond to inquiries from patients, providers, and insurance companies and assist with inbound calls • Verify insurance eligibility and benefits coverage • Collaborate with Team Leaders, Section Leaders, and cross-functional teams to escalate issues and support workflow efficiency • Deliver customer service to internal and external stakeholders • Adhere to HIPAA regulations and safeguard patient information

🎯 Requirements

• High school diploma or GED • 3+ years of healthcare billing accounts receivable experience in a mid-to-large organization • 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 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 handle service issues tactfully and professionally • Proficiency in Microsoft Office applications, including Excel and Word • Strong organizational and time management skills • 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 • HIPAA compliance and patient information safeguarding • Preferred: 3+ years of Healthcare AR experience with large complex physician practice groups • Preferred: EMR experience across a minimum of one platform, such as Epic or Clinical Works • Preferred: CPAR certification • Preferred: Certified Medical Billing Specialist certification • Preferred: Associate’s degree in Healthcare Management, Health Information Management, or related field

🏖️ Benefits

• Fully remote work arrangement • Equal Employment Opportunity • Reasonable accommodations for qualified individuals with disabilities upon request