Accounts Receivable Specialist
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Job Description
Accounts Receivable Specialist managing insurance, patient billing, and claims collections for Digitech's EMS revenue-cycle services. Remote role resolving denials and past-due accounts.
Responsibilities:
- Support all aspects of insurance and patient billing to ensure prompt and accurate payment to clients or providers
- Call patients, hospitals, insurance companies, facilities, and attorneys to research claims or obtain additional insurance information
- Contact insurance carriers regarding the status of past-due accounts
- Meet or exceed defined productivity and quality standards
- Document account activity in the claims processing system
- Follow up on self-pay accounts, including verifying insurance coverage and establishing payment plans
- Follow up daily on unpaid claims to minimize aging accounts
- Ensure accounts reaching collections are fully worked before referral to an external collection agency
- Complete assigned special projects
- Perform quality checks on assigned claims
- Maintain confidentiality and comply with company standards, HIPAA, and state and federal guidelines
- Perform additional duties as assigned
Requirements:
- High School Diploma or equivalent required
- Minimum of 1 year of experience in healthcare claims processing, billing, or accounts receivable
- Hands-on experience preparing and submitting insurance appeals, including understanding remittance advices, payer denial codes, and payer timely filing limits
- Familiarity with ICD-10, HCPCS, and general medical terminology
- EMS billing experience strongly preferred; experience in other medical specialties will be considered
- Proficiency with various web platforms, including billing software and payer portals
- Prior customer service experience
- Ability to work collaboratively with other departments and team members
- Basic computer knowledge and experience using Microsoft Office
- Strong customer service, interpersonal, organizational, communication, and time-management skills
- Strong investigative and research skills, with the ability to resolve complex billing issues
- Effective critical thinking and analytical abilities
- Ability to work independently in a fast-paced, adaptive environment with minimal supervision
- Ability to independently manage all aspects of the job role, including required goals and business practices, in a remote environment
- Ability to comply with HIPAA and applicable state and federal laws and regulations
- Ability to maintain confidentiality
- Ability to adhere to company attendance policies
Benefits:
- Competitive salary, commensurate with experience
- Comprehensive benefits package
- 401(k) Plan
- Remote work arrangement
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