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1 час назад

Billing & Insurance AR Specialist

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Мэтч & Сопровод

Для мэтча с этой вакансией нужен Plus

Описание вакансии

Текст:
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TL;DR
Billing & Insurance AR Specialist (Medical Billing/Oncology): Managing insurance accounts receivable, claim corrections, payer follow-up, and patient collections with an accent on oncology billing, reimbursement regulations, and clean claim submission. Focus on reviewing aging accounts, resolving claim and payment issues, applying HCPCS/CPT/ICD coding knowledge, and coordinating timely reimbursement with patients, physicians, and insurers.

Location: United States; remote

Company

hirify.global supports community oncologists through a patient-centric, physician-driven, and technology-powered healthcare model.

What you will do

  • Manage assigned accounts receivable aged 45 days or more and review EOBs within a two-week turnaround.
  • Follow up with insurance carriers, research outstanding balances, resolve payment issues, and re-file claims when needed.
  • Review claim edit failures and correct billing for clean claim submissions.
  • Contact and counsel patients regarding outstanding self-pay balances and respond to billing inquiries.
  • Document collection activity, prepare reports and write-off adjustment forms, and escalate unusual accounts.
  • Collaborate with the revenue cycle management team to support accurate claims and timely payment.

Requirements

  • Minimum 3 years of medical collections experience required.
  • High school diploma or equivalent required; a bachelor's degree is preferred.
  • Expertise in medical billing, insurance policies, reimbursement regulations, Medicare, and Medicaid.
  • Detailed knowledge of HCPCS, CPT, and ICD codes, as well as carrier-specific requirements.
  • Strong communication, customer service, analytical, organizational, multitasking, negotiation, and problem-solving skills.
  • Proficiency with Microsoft Word, Excel, Outlook, patient billing systems, databases, and other medical information systems.

Nice to have

  • Experience in an oncology healthcare setting.
  • Radiation oncology or proton experience.
  • Commercial collections experience.

Culture & Benefits

  • Remote work arrangement in the United States.
  • Values-driven culture focused on improving care for people living with cancer and other diseases.
  • Opportunity to work with physicians, patients, insurance companies, and revenue cycle management professionals.

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