Job Description

Job Description

Job Description

Accounts Receivable Specialist

(Remote)

Must be located in one of the following states: WA, OR, ID, UT, TX, AZ, VA, FL, NC, GA, PA

Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal!

United Wound Healing’s AR Specialist is a critical role to our financial success within our medical practice. This Specialist will assist in improving cash flow and participate in managing the overall health of the company’s receivables by minimizing lost revenue and result in paid claims. The role is responsible for effective collection on unresolved claims and will include daily accounts receivable resolution from insurance carriers in multiple states ( including WA, OR, ID, and UT ). The ideal candidate will have advanced expertise in the revenue cycle management process and insurance claims processing cycle.

Main Responsibilities (may include but are not limited to):

• Thoroughly investigate the root cause of unresolved claims (including denials, underpayments, or delayed payment)
• Troubleshoot and correct claim data to ensure clean claim is processed
• Dispute inaccurate denials with insurance payors
• Submit written appeals to insurance payors when applicable and ensure timely follow-up regarding status
• Supply supporting documentation for unresolved claims as needed
• Identify payor changes, verify eligibility, and accurately update COB on account
  1. Accurately identify the correct insurance payor(s)
  2. Navigate insurance payor sites
• Make outbound calls to collaborate with insurance payors for claim resolution
• Collaborate with partner facility’s business office
• Identify and communicate potential denial trends, coding issues, etc...
• Perform account reconciliation as needed
• Identify and review overpayments, complete refund request paperwork, and/or process insurance takebacks via ERAs
• Follow-up and resolve worklist items assigned
• Provide detailed documentation surrounding work performed on each individual account
• Answer incoming calls within the business office and provide professional assistance
• Complete daily AR log and submit to Supervisor
• Meet productivity standards as set by the department

Minimum Requirements:

• CPB, preferred but not required
• CPC (or CPC-A) preferred but not required
• 3+ years medical billing and accounts receivable experience
• Advanced expertise with revenue cycle management process and insurance claims processing cycle
• Ability to read and understand EOBs is crucial
• Strong understanding of insurance denials and unresolved claims resolution
• Knowledge of ICD-10, CPT, and HCPCS
• Understand CMS-1500 claim format
• Must be critical thinker and have strong problem-solving skills
• Skilled with computers and navigating within multiple web browsers
• Skilled in MS Office: specifically Outlook, Excel (intermediate), and Word
• Strong work ethic with a high attention to detail
• Excellent organization and use of time management skills
• Ability to prioritize workload and manage time sensitive situations with a strong sense of urgency
• Strong verbal and written communication, as well as customer service skills; must be able to listen and communicate effectively with partner facilities, co-workers, patients, and insurance companies
• Must be consistently dependable and able to work independently
• Must be trustworthy, honest and have a positive and professional attitude
• Adaptability to changing procedures and growing work environment

Location: Remote – corporate office location in WA

Compensation: $24.00 - $27.00 hourly - DOE and location

This position is classified as: Hourly, Non-Exempt ; Full-Time employment

Hours: Typical hours are Monday through Friday; 7:30am – 4:00pm PST, (occasional overtime depending on work volume)

Benefits:

• Work remotely from a home office
• Associates working 20+hrs per week:
  • Medical/Dental/Orthodontic/Vison/RX – minimum 80% towards employee monthly premiums covered, dependent coverage available at employee’s expense
  • Employer Sponsored Life, AD&D, and Disability Insurance
  • Voluntary Supplemental Insurance: Accident, Cancer, Critical Illness, STD, Life, Identity Protection, Financial Wellness, and Legal Plan coverages available
• Paid Time Off:
  • Accrual up to 172hrs (21.5 days) your first year of employment based on FTE status
• 8 paid Holidays for full-time employees
• 401(k) match on first 4%
• Core Values that promote work-life harmony
• Work with amazing people who have created a culture where we recognize each other’s wins and don’t tolerate gossip or drama

We are a drug-free workplace. All offers of employment are contingent upon a successful drug screen and criminal background check. EEO.

Job Tags

Similar Jobs