Medical Insurance Accounts Receivable Specialist (Remote - SC Local only)

Position Summary:  Responsible for achieving and maintaining reduction of AR days, growth in net collections, reduction in percent of AR greater than 120 days and an increase in cash collected.

I.     Position Responsibilities:  Essential 

• Account research by contacting and responding to request from billing vendor and payers for verification of patient claim status and/or demographic information.
• Prioritize workload based on aging reports, account balance, and priority accounts under the direction of management.
• Investigative skills. Pursues non-payment from third party payors until resolved.
• Strong knowledge of third party payor rules and guidelines, especially State Medicaid plans.
• Ensure all Protected Health Information is kept in a secure location at all times.
• Maintain a consistent processing and low error rate.
• Collects and forwards updates to billing vendor as needed to include removal of patients from collections, submission of insurance claims, and payments to be posted.
• Responds to RAI’s from billing vendor and instructs on next steps.
• Resolve claim errors, demographic issues, duplicates, and no coverage errors in work queues.
• Perform other duties as assigned.

II.    Essential Skills/Credentials/Experience/Education

• Experience insurance collections Medicaid, Managed Care, BCBS and Commercial accounts.
• Knowledge of billing procedures, health plans and claims processing.
• Strong organizational skills and attention to detail.
• Strong computer skills, proficient in Word, Excel, and Medical Billing Software (EPIC, Allscripts, McKesson, etc).
• A minimum of a High School Diploma or equivalent.

III.   Preferred Skills/Credentials/Experience/Education

• Understanding of medical terminology to include knowledge of ICD-9 and CPT.
• Professional phone etiquette and excellent customer service skills.
• Preferred multi-state, multi-location billing experience.
• Strong computer skills, proficient in Word and Excel.

IV.    Mental and Physical Demands (per ADA guidelines)

Physical Demands:

• Sitting for long periods of time. Occupation requires this activity more than 66% of the time (2.6+ hrs/day)

Travel Demands:

• May require occasional travel to offsite meetings.

Hourly, Nonexempt Position Compensation: $20 - $23 per hour

What We Offer - The Good Stuff:

• A mission based company with an amazing company culture.
• Paid time off & holidays so you can spend time with the people you love.
• Medical, dental, and vision insurance for you and your loved ones.
• Health Savings Account (with employer contribution) or Flexible Spending Account options.
• Employer Paid Basic Life and AD&D Insurance.
• Employer Paid Short- and Long-Term Disability.
• Optional Short Term Disability Buy-up plan.
• Paid Parental Leave (starting June 1, 2024)
• 401(k) Savings Plan, with ROTH option.
• Legal Plan.
• Identity Theft Services.
• Mental health support and resources.
• Employee Referral program – join our team, bring your friends, and get paid.