Accounts Receivable Specialist

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US Heart and Vascular

1001 - 5000 employees

Founded 2021

🏥 Healthcare

🤝 B2B

💼 Consulting

Healthcare • B2B • Consulting

US Heart and Vascular is the premier independent cardiovascular partnership that partners with cardiology practices to accelerate growth, expand access, and improve quality while lowering total cost of care. USHV provides a platform of operational and administrative support—payor contracting, revenue cycle management, recruiting, scheduling and staffing, analytics and data, compliance and credentialing, site-of-service strategy (including ASC utilization), and other practice enablement services—while preserving local physician leadership and practice autonomy.

📋 Description

• Achieve maximum revenue collections from insurers and patients through timely entry, filing, and follow-up • Maintain accurate transactions and correspondence on patient accounts • Provide insurance claims education to patients • Post payments and adjustments; reconcile batches and accounts • File primary and secondary claims timely • Manage outstanding insurance accounts, denials, rejected claims, and payment appeals within 30 days • Follow up on unresolved claims at least every 30 days • Document tasks performed on patient accounts in the EMR • Seek patient collections on overdue accounts • Process charges with correct diagnoses and modifiers within 48 hours of availability • Prepare clean, timely insurance claims • Greet patients in person or by telephone, determine their needs, and respond accordingly • Obtain or review demographic and insurance data, including insurance cards • Verify medical insurance coverage and document benefits information • Utilize EMR and PM systems accurately • Perform other reasonable services assigned by the supervisor

🎯 Requirements

• High school diploma or equivalent • Minimum of one year’s experience in a medical office or other healthcare setting • Basic understanding of medical terms and abbreviations • Thorough working knowledge of insurance and medical billing • Knowledge of computer systems • Understanding of health insurance mechanics and PPO networks • Knowledge of medical billing forms, reports, and processing methods • Knowledge of patient confidentiality and HIPAA regulations • Excellent attention to detail

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