Job Description
DAY TO DAY:
The Accounts Receivable Specialist follow up with insurance carriers on denied, underpaid, or unresolved insurance claims. This position requires a comprehensive understanding of the entire revenue cycle and appropriate actions to take to resolving claim issues with payers in a timely manner.
RESPONSIBILITES:
* Successfully navigate multiple vendors including but not limited to, payer websites and clearinghouse(s)
* Produces and maintains department policies, procedures, documentation, and training materials for role specific activities
* Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team
* Must maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner
* Routinely collaborate with department managers to correct problems and improve services
* Accurately documents collection activity performed
* Identifies inaccurate claim denials, under or over payments, billing errors, and discrepancies to correct to ensure resolution
* Informs manager of identified issues or trends
* Manages inbound and outbound calls for multiple clients, this may include handling different topics and being a contact between patients and clients
* Provides timely resolution of assigned accounts for multiple clients
* Successfully submits appeals to insurance companies to obtain reimbursement
* Successfully navigates multiple vendors including, but not limited to, payer websites and clearinghouse(s)
* Meets specified department performance requirements
* Resolves support tickets submitted by clients and assigned to department according to metrics assigned
* Manages time and multi-tasks appropriately to meet expectations of management and peers
* Remote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in efficient manner
* Remote employee is responsible to keep work area quiet and organized during scheduled working hours
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
* 2+ years in Accounts Receivable / Collections experience for a healthcare organization
* In current position, utilizing Epic as billing system
* 1+ years of experience working in a remote setting
* Ability to work Monday through Friday 8:00-4:30 CST (can sit in other time zones)
Nice to Have Skills & Experience
* Medicare/Medicaid experience
* OBGYN billing experience
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.