Accounts Receivable Specialist - Remote

Accounts Receivable Specialist

The Accounts Receivable Specialist submits billing to the appropriate party and follows-up for adjudication and payment of individual claims. Communicates with insurance and other payers, patients, guarantors, family members, and/or other medical staff for status of individual claims to manage accounts receivable.

Job Description:

• Performs comparative analysis for accuracy of bill before submission to appropriate parties (i.e., charges, subscriber data, diagnosis/procedure codes, and late charges).
• Processes claims in a timely manner according to contracts, regulations, department standards, and form requirements.
• Generates phone calls to all parties to check status of unprocessed, unpaid, or rejected claims ensuring accurate and timely reimbursement.
• Processes variety of correspondence from all parties taking appropriate steps to expedite timely resolution of claims payment.
• Verifies insurance/payer and patient demographic information for accuracy of data collected at time of registration when appropriate. Inputs verification data to complete in-house claims generation of billing forms.
• Re-bills accounts when new information is received requiring account updates with appropriate demographic and third party information to ensure payment. Updates patient record to indicate changes made.
• Reviews internal and external reports for claims status.

Qualifications:

• High School diploma or GED preferred
• Must be 18 years of age

Physical Demands:

• Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
• Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

Work Environment:

• Climate controlled office setting with daily movement throughout the facility
• Interaction with department members and other healthcare providers

Scheduled Weekly Hours: 40

Scheduled FTE: 1

Location: CIN 3 Neenah Center - Appleton, Wisconsin

Overtime Exempt: No

Worker Shift Details: Days