Accounts Receivable Specialist

🕒 July 2

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Pinnacle Healthcare Consulting

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1998

🤝 B2B

📋 Compliance

💸 Finance

B2B • Compliance • Finance

Pinnacle Healthcare Consulting is a nationally recognized healthcare consulting firm that provides strategic, financial, operational, compliance, and valuation services to healthcare organizations. The firm offers services including compensation and fair market value opinions, business valuation and transaction support, value-based care strategy, coding and compliance, revenue cycle management, real estate consulting, and life sciences transaction advisory. Pinnacle serves hospitals, health systems, physician practices, ambulatory surgery centers, digital health companies, dialysis and kidney care companies, law firms, private equity, and nonprofit organizations, delivering practical, data-driven solutions to manage risk, improve performance, and support transactional and regulatory needs.

📋 Description

• Support the PHRS mission, vision, core values and customer service philosophy • Continuously interact with physicians, patients and insurance vendors to investigate outstanding claims and incomplete payments • Provide first level customer support for billing services which includes answering phones and researching patient account issues • Maintain proficiency and appropriate level of knowledge with all systems required for task completion • Responsible for completing patient billing and investigating daily denials by working with insurance vendors and adjusters to resolve problem accounts and re-file open claims • Accountable for outstanding customer service to all external and internal customers • Develop and maintain effective relationships through effective and timely communication • Take initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.

🎯 Requirements

• Minimum 2 years of experience in medical billing • High School diploma or equivalent is required • Associates Degree or higher in Medical Billing and Coding or a related field is preferred • Knowledge of government and managed care payment methodologies • Understanding of terms such as contractual adjustment, allowed amount, coinsurance, denial and denial processes • Experience in billing or health insurance claim processing preferred • CPT, ICD-9, and HCPCS coding knowledge preferred • Knowledge of business office procedures • Ability to operate a computer, copier or fax machine • Ability to sort and file materials correctly by alphabetic or numeric systems • Verbal and written communication skills • Knowledge of Microsoft Office Products • Experience in one or more billing software platforms is preferred - EPIC; Ideal; Allscripts; Centricity; Acumen-Epic; iSalus; Athena • Experience in one or more specialties is preferred – Nephrology; OB/GYN; Gastroenterology; Internal Medicine; Long Term Care.

🏖️ Benefits

• Medical • Dental • Vision • STD • LTD • HSA (as applicable with Employer contribution) • 401k Plan with employer match.