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Accounts Receivable Specialists, Medical


Pottstown, Pennsylvania


Accounts Receivable Specialists, Medical Job Opening in Pottstown, Pennsylvania - Summary:
The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs. Research claim denials, correct and reprocess claims a timely manner. . Initiates and follows-up on appeals. Exercises good judgment in escalating identified denial trends to mitigate future denials. Sharing your gained knowledge with or check in employees. Identifies uncollectible accounts and performs accurate and timely write-offs adhering to PMSI policy guidelines. Demonstrates the ability to be an effective team player. Upholds "best practices" in day to day processes and work flow standardization to drive maximum efficiencies across the team. Salary will be based on experience. Flexible hours. Looking to expand our current team by 2-3 employees.
Job requirements:
Education: High School Graduate/GED required.
Work experience: Experience (2+ years minimum) working in healthcare billing.
Knowledge: Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes. Understanding of the revenue cycle and how the various components work together preferred.
Skills: Excellent organization skills, attention to detail, research and problem-solving ability. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment.
Job Type: Full-time

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