Insurance Accounts Receivable Specialist I
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Job Description
Insurance accounts receivable specialist processing claims and resolving denials for Solaris Health Holdings. Supporting accurate reimbursement through billing follow-up and claims corrections.
Responsibilities:
- Perform billing-related tasks including data entry, claim review, charge review, and accounts receivable follow-up
- Resolve entry-level insurance denials related to medical records, eligibility, and coordination of benefits
- Complete daily tasks in assigned work queues according to manager direction and established workflows
- Use CBO Pathways, payer websites, billing systems, and training materials to resolve unpaid or underpaid claims and authorize procedures
- Identify payer requirement, provider credentialing, and coding issues and escalate complex matters to management
- Review reports to identify unpaid claims and potential revenue opportunities
- Communicate with providers, patients, coders, and other stakeholders to ensure accurate and timely claims processing
- Adhere to workflows, operational policies, compliance guidelines, regulatory requirements, HIPAA, and Solaris Health policies
- Provide input on system edits, process improvements, policies, and billing procedures
- Participate in meetings and workgroups and complete required training
- Read and apply policies and procedures, coordinate functions with team members, and explain processes
- Make system corrections and resubmit claims as necessary
- Report suspected compliance concerns or violations
- Perform other position-related duties as assigned
Requirements:
- High school diploma or equivalent required
- Previous experience in a customer service or healthcare setting preferred
- Excellent interpersonal and communication skills
- Strong customer service orientation and a friendly, approachable demeanor
- Basic knowledge of medical facility layout and department functions; training provided
- Dependability and punctuality
- Ability to work independently and as part of a team
- Cultural sensitivity and ability to interact respectfully with diverse populations
- Skill in using computer programs and applications including Microsoft Office
- Ability to follow departmental workflows, operational policies, compliance guidelines, and regulatory requirements
- Ability to maintain patient confidentiality in compliance with HIPAA
- Ability to complete required compliance training
- No certifications, licensures, or registry requirements (N/A)
- No required travel (N/A)
Benefits:
- PTO
- Holiday pay
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- Pet insurance
- Health savings account
- Paid sick time
- Paid time off
- Paid holidays
- Profit sharing
- Retirement plan
- Fully remote position
- No weekends, no evenings, no holidays
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