Government Revenue Cycle Accounts Receivable
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Job Description
Handle accounts receivable claims management for insurance remotely, ensuring timely submission and follow-up. Focus on accuracy and compliance while achieving productivity goals.
Responsibilities:
- Prepare, edit and ensure all claims are submitted accurately and timely per payer contract and guidelines
- Access client files and payer websites if necessary to verify information
- Provide timely responses to all written correspondence inquiries regarding claim/account status
- Manage claim assignments, via work queues and/or work lists and ensure proper follow up is performed on the accounts for cash resolution
- Keep supervisor advised of any compliance, system(s), and/or payer trend issues which may lead to untimely or inaccurate completion of claim submission/resolution
- Contact insurance carriers on a daily basis for claim status and patient information either by phone or website; determine reason for the lack of payment or underpayment
- Complete all assignments according to schedule
- Achieve and consistently maintain daily, weekly and monthly productivity and quality goals as determined by departmental needs and standards
- Must have the ability to Identify/resolve claim and or payer issues as they occur
- Perform other tasks as assigned to support the goals of the organization
Requirements:
- High School or better
- Time Management
- Advanced Microsoft Office
- Advanced English written/verbal
- Advanced Customer Service
- Advanced Computer Skills
- Intermediate Claims Processing
- Identify/Resolve Problems
- Advanced Typing Skills Min 35 wpm
- Intermediate Communication Skills
Benefits:
- Need high speed internet at home and dedicated work space
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