Remote Medical Accounts Receivable Specialist

  • Prepare and submit clean electronic claims to maximize reimbursement.
  • Analyze claim rejections and take corrective action to ensure resubmission success.
  • Process all incoming payments from insurance and patients, ensuring accurate posting.
  • Manage outstanding balances by following up with insurance companies, processing rebills, and escalating complex issues.
  • Review and address denied claims, resubmitting when appropriate or initiating appeals.
  • Reconcile patient and insurance credit balances to facilitate timely refunds.
  • Serve as the first point of contact for patient billing inquiries, addressing concerns and escalating as needed.
  • Collect patient co-pays, coinsurance, and deductibles.
  • Develop and manage patient payment plans, ensuring timely settlements.
  • 5 or more years of experience working medical denials
  • Experience working in EPIC required
  • Experience working with Medicaid and Commercial payors