The Accounts Receivable Collections Specialist will review denied claims and corrections for timely filing with payors while researching and rebilling all collectible claims.
Responsibilities include reviewing denied and unresponsive claims for accuracy of CPT, diagnosis codes, procedure codes, and modifiers; rebilling or sending corrected claims within payers' timely filing limits; researching and rebilling claims to appropriate insurance; communicating with insurance companies and patients to resolve billing and payment issues; following up with providers for necessary documentation to appeal claims; completing balance adjustments when claims are uncollectible; identifying and reporting denial trends to management; and answering billing inquiry calls from insurance or patients.
Position reports to the Revenue Cycle Manager and assists with revenue and billing operations.
- High School Diploma or equivalent
- Minimum 1 year experience in physician billing and/or accounts receivable follow up
- Knowledge of Medicare, Medicaid, and Managed Care billing and reimbursement guidelines
- Detail-oriented and analytical
- Proficient with Microsoft Outlook, Word, and Excel
- Organized with ability to multitask in a fast-paced environment
- Able to work independently and in teams
- Typing speed of 45+ words per minute
Location
Maryland, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago