17 часов назад
Insurance AR Specialist
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Insurance AR Specialist (Medical Collections): Managing aging insurance accounts receivable, reviewing EOBs, following up with carriers, and resolving outstanding balances for oncology healthcare services with an accent on reimbursement regulations, medical coding, and accurate collection documentation. Focus on researching complex claims, negotiating resolutions, coordinating with patients and clinical departments, and maintaining compliance with Medicare, Medicaid, HCPCS, CPT, and ICD requirements.
Location: Remote within the United States
Company
supports community oncologists through a patient-centric, physician-driven, and technology-powered healthcare model.
What you will do
- Manage assigned accounts receivable aged 60 days or more and review EOBs within a two-week turnaround.
- Follow up with insurance carriers on outstanding balances, research claims, and re-file claims when necessary.
- Contact and counsel patients regarding outstanding self-pay balances and respond to billing inquiries.
- Prioritize collection actions, document activity, prepare adjustment and write-off forms, and maintain collection logs.
- Prepare daily user reports and escalate unusual or delinquent accounts to the supervisor.
- Coordinate with other departments to gather information and resolve account issues.
Requirements
- High school diploma or equivalent required; bachelor’s degree preferred.
- At least 3 years of experience in medical collections, preferably in an oncology healthcare setting.
- Expertise in medical billing, insurance policies, reimbursement processes, and regulations related to Medicare and Medicaid.
- Detailed knowledge of HCPCS, CPT, and ICD codes and specific payer requirements.
- Strong analytical, organizational, multitasking, negotiation, problem-solving, communication, and customer service skills.
- Proficiency with MS Word, Excel, Outlook, databases, patient billing systems, and other medical information systems.
Nice to have
- Experience in radiation oncology or proton therapy.
- Commercial collections experience.
Culture & Benefits
- Values-driven culture combining startup enthusiasm with support from leaders in oncology, urology, technology, and finance.
- Remote work arrangement within the United States.
- Focus on improving processes that support independent physicians and the patients they serve.
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