Rebound is seeking an Insurance Accounts Receivable Specialist to join the Business Office team. The role is responsible for preparing, submitting, and resolving insurance claims for physician and ASC facility services using Epic billing workflows.
This position supports timely and accurate claim submission, correct claim edits, rejection management, and follow-up on outstanding accounts. The role contributes to reducing A/R days, improving clean claim rates, and maximizing reimbursement in compliance with payer rules and organizational policies.
This is an on-site position at the Stonemill location. Remote work is not available.
Requirements & Qualifications
Responsibilities
- Support Rebound's mission and core values.
- Submit professional and facility claims electronically through Epic and the clearinghouse interface.
- Validate claim data using Charge Review and Claim Edit work queues and correct errors before submission.
- Confirm insurance coverage, place of service, provider information, and coding accuracy before release.
- Resubmit corrected claims and follow up on rejected or pended submissions.
- Work Charge Review, Claim Edit, and Follow Up queues daily.
- Route claims to coding, registration, or contracting teams when discrepancies affect billing.
- Identify trends or repeat edit issues and escalate root causes.
- Review payer rejections and denials in Epic and take appropriate corrective action.
- Coordinate with insurance companies via portals or phone to resolve claims issues.
- Document all actions in account notes.
- Follow CMS and commercial payer billing guidelines, including NCCI edits, modifiers, and place of service requirements.
- Maintain knowledge of billing for multiple service lines including E&M, surgical procedures, and ancillary services.
- Maintain confidentiality and comply with HIPAA.
Qualifications
- High school diploma or equivalent required.
- College-level accounting or business courses preferred.
- Minimum 2 years of experience in medical billing in a healthcare-related field, physician's office, hospital, or clinic.
- Experience in collections, customer service, and insurance billing/reimbursement preferred.
- Working knowledge of CPT, ICD-10, HCPCS, modifiers, and payer billing guidelines.
- Experience with Medicare, Medicaid, and commercial payers; ASC billing knowledge preferred.
- Knowledge of insurance billing procedures, collection laws, and medical terminology preferred.
- Excellent communication, problem-solving, and critical thinking skills.
- Proficient with computers, including MS Office.
- Ability to work independently and collaboratively with limited supervision.
Benefits & Perks
Benefits
- Medical, vision, and prescription coverage
- Dental insurance
- 401(k) retirement plan with discretionary profit sharing
- Company-paid life insurance and AD&D
- Voluntary life insurance and AD&D
- Company-paid short- and long-term disability
- Flexible spending and health savings accounts
- Employee assistance program
- Free parking
- Paid time off accrued up to 24 days in the first year based on FTE
Schedule
- Monday through Friday
- No weekends or holidays
- Full-time, 40 hours per week
Location
Washington, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago