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Accounts Receivable Specialist - Medicare Advantage

Remote:

Full Remote

Contract:

Full time

Work from:

United States

Offer summary

Qualifications:

High School Diploma (College degree preferred), Minimum of 5 years of Hospital and Physician claims follow-up and denials management.

Key responsabilities:

Experience with hospital billing and AR follow-up
Understanding of Medicare regulations
Manage denied claims and submit appeals

Infinx Large https://www.infinx.com/

1001 - 5000 Employees

See more Infinx offers

Job description

Your missions

Ni2 Health is actively recruiting an Accounts Receivable Specialist to join our Revenue Cycle Team.  The ideal candidate is action oriented and looking to learn and grow with Ni2 to advance within the organization.  The Accounts Receivable Specialist will:

Have proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC and Provider-based billing and AR follow-up knowledge
Have a solid understanding of billing regulations related to Medicare and Medicare Advantage - Recent experience preferred
Be able to function independently to complete timely and thorough follow-up on unresolved hospital and physician claims
Have strong proficiency in managing denied claims, including the ability to determine the root cause of denials, and providing requested information to health plans to resolve identified issues
Have a strong proficiency in preparing and submitting appeals and reconsiderations to health plans
Adapt quickly to proprietary tools and technology
Other duties as assigned

ABOUT NI2 HEALTH
Awarded Consulting Magazine’s “Best Small Firms to Work for 2019 and 2020,” Ni2 Health ranks highly in employee morale and firm culture. At Ni2 Health, you will discover challenges that excite you as you develop professionally and explore different career paths based on your interests and abilities. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done.
Breaking the mold is a vital component to what we do at Ni2, and driving sustained value to our clients is paramount. Our team members and clients are completely satisfied with our service-based approach. If you are looking to be mentored as a new graduate, come explore Ni2 Health (www.ni2health.com) and join a team of stars. 

APPLICANT REQUIREMENTS AND SKILLS
Applicants must submit a full CV, cover letter and updated resume to be considered.
Position is remote.
Minimum Job Requirements

High School Diploma (College degree preferred)

Minimum of 5 years of Hospital and Physician claims follow-up and denials management required
Excellent written and oral communication skills
Excellent organizational, time management, and interpersonal skills
Proficiency in Microsoft applications
Proficiency with various hospital EMRs: Cerner, Epic, McKesson, CPSI, Meditech, Etc.
Proficiency with various billing systems: Waystar, SSI, Quadax, Availity, NaviNet, etc.