Accounts Receivable Analyst jobs at R1 RCM - 1222 jobs
Billing Manager
Step Up Recruiting 4.0
Macomb, MI jobs
We are seeking a skilled and strategic Billing Manager to lead and oversee the daily operations of a healthcare billing department. This role is responsible for managing billing workflows, supervising staff, and ensuring accurate and timely claims processing across multiple insurance types. The ideal candidate will bring leadership experience, a deep understanding of revenue cycle operations, and a commitment to driving performance and compliance.
Key Responsibilities:
Supervise and mentor a team of billing professionals, promoting a culture of accountability, collaboration, and continuous improvement.
Oversee departmental operations including claims submission, denial management, and revenue tracking.
Ensure billing processes align with regulatory standards and payer requirements, including Medicare, Medicaid, and commercial insurance.
Develop and maintain training programs and standard operating procedures (SOPs) for billing staff.
Monitor team performance, conduct evaluations, and support professional development.
Collaborate with finance and HR leadership to manage staffing, attendance, and disciplinary actions.
Lead recruitment efforts for billing roles, including candidate screening and interview participation.
Identify and resolve system issues in coordination with software vendors and payers.
Analyze accountsreceivable (A/R) aging reports, identify trends, and implement corrective actions to improve collections.
Track key performance indicators (KPIs) and generate reports to support strategic decision-making.
Ensure timely filing and clean claim submission to maximize revenue and minimize rejections.
Respond to audit findings and implement process improvements to reduce billing and coding errors.
Maintain compliance with HIPAA regulations and uphold patient confidentiality standards.
Provide exceptional internal and external customer service and maintain a positive team environment.
Qualifications:
Associate's or Bachelor's degree in healthcare administration, business, finance, or a related field preferred. Equivalent experience will be strongly considered.
Medical Billing Certification preferred.
Minimum of 3-5 years of experience in healthcare billing or revenue cycle management, with at least 2 years in a supervisory or leadership role.
Strong knowledge of insurance billing practices, denial management, and regulatory compliance.
Proficiency in billing software and data analysis tools.
Excellent communication, organizational, and problem-solving skills.
Benefits:
Competitive salary
Health, dental, and vision insurance
Paid time off and holidays
Retirement plan options
Professional development opportunities
$53k-70k yearly est. 4d ago
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A/R Analyst
Omni Eye Specialist Pa 3.9
Iselin, NJ jobs
We are looking for a Fully Remote AccountsReceivable specialist who has strong communication and interpersonal skills, ability to work independently and as part of team, extensive experience with appeals and denials, patient collections, good computer skills, along with the ability to multi-task and work in a fast paced environment. Qualified candidates must have 2 years provider side medical billing experience and experience working with major insurance carriers, Medicare and Medicaid.
Essential Duties and Responsibilities:
* Follow up on unpaid claims within standard billing cycle timeframe
* Check each insurance payment for accuracy and compliance with contract discount
* Call insurance companies regarding any discrepancy in payments if necessary
* Identify and bill secondary or tertiary insurances
* Research and appeal denied claims
* Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
* Set up patient payment plans and work collection accounts
Knowledge, Skills, and Abilities
* Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
* Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
* Use of computer systems, software,
* Effective communication abilities for phone contacts with insurance payers to resolve issues
* Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members
* Able to work in a team environment
* Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
* Knowledge of accounting and bookkeeping procedures
* Knowledge of medical terminology likely to be encountered in medical claims
* Knowledge of CPT/ICD-10 coding discrepancies
The salary range for this position will be commensurate with the candidate's experience and skill level, with final compensation determined based on qualifications and relevant expertise.
Comprehensive Benefits Package :
Medical, Prescription Drug Coverage, Dental and Vision insurance
Wellness Incentive Programs, Nutrition Counseling
Low Cost Access to Fitness Centers
Headspace
ID Theft Insurance
Employer Sponsored Health Savings Account (HSA)/ Health Reimbursement Account (HRA)
Flexible Spending Account (FSA)
Employer Provided Group Term Life & AD&D
Short-term Disability
Life Assistance Program
Commuter/Parking Benefits (where applicable)
401K retirement plan with company match
Ancillary insurance options, including fraud, accidental and hospital indemnity
LifeMart- Employee Discounts Program
Paid Time Off and State Sick Pay (where applicable)
FREE Employee Refractive Surgery Program (terms apply)
$58k-65k yearly est. Auto-Apply 60d+ ago
A/R Analyst
Omni Eye Specialist Pa 3.9
Iselin, NJ jobs
We are looking for a Fully Remote AccountsReceivable specialist who has strong communication and interpersonal skills, ability to work independently and as part of team, extensive experience with appeals and denials, patient collections, good computer skills, along with the ability to multi-task and work in a fast paced environment. Qualified candidates must have 2 years provider side medical billing experience and experience working with major insurance carriers, Medicare and Medicaid.
Essential Duties and Responsibilities:
* Follow up on unpaid claims within standard billing cycle timeframe
* Check each insurance payment for accuracy and compliance with contract discount
* Call insurance companies regarding any discrepancy in payments if necessary
* Identify and bill secondary or tertiary insurances
* Research and appeal denied claims
* Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
* Set up patient payment plans and work collection accounts
Knowledge, Skills, and Abilities
* Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
* Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
* Use of computer systems, software,
* Effective communication abilities for phone contacts with insurance payers to resolve issues
* Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members
* Able to work in a team environment
* Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
* Knowledge of accounting and bookkeeping procedures
* Knowledge of medical terminology likely to be encountered in medical claims
* Knowledge of CPT/ICD-10 coding discrepancies
The salary range for this position will be commensurate with the candidate's experience and skill level, with final compensation determined based on qualifications and relevant expertise.
Comprehensive Benefits Package:
Medical, Prescription Drug Coverage, Dental and Vision insurance
Wellness Incentive Programs, Nutrition Counseling
Low Cost Access to Fitness Centers
Headspace
ID Theft Insurance
Employer Sponsored Health Savings Account (HSA)/ Health Reimbursement Account (HRA)
Flexible Spending Account (FSA)
Employer Provided Group Term Life & AD&D
Short-term Disability
Life Assistance Program
Commuter/Parking Benefits (where applicable)
401K retirement plan with company match
Ancillary insurance options, including fraud, accidental and hospital indemnity
LifeMart- Employee Discounts Program
Paid Time Off and State Sick Pay (where applicable)
FREE Employee Refractive Surgery Program (terms apply)
$58k-65k yearly est. Auto-Apply 60d+ ago
Billing Coordinator III (Billing Specialist Subsidiary) REMOTE
Labcorp 4.5
Burlington, NC jobs
At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives!
Billing Coordinator III (Billing Specialist Subsidiary) REMOTE
Labcorp is seeking to add a Subsidiary Billing Specialist (Appeals)- Revenue Cycle Management Division! This individual will be primarily responsible for maximizing revenue for the company. This team interacts with health insurers to secure coverage and reimbursement for our patients. The Subsidiary Billing Specialist (Appeals) is expected to understand all aspects of the insurance appeal process and can identify insurance trends and provide impactful feedback. The result of our work is an innovative, flexible, highly scalable billing operation in a collaborative, fast-paced team environment.
Responsibilities:
Performs research of payer rejections and denials in regards to genetic testing claims
Produces high volume of successful appeals to insurance carriers to obtain payment
Collaborates with multiple teams and to develop best practices and resolve denial issues
Reviews payor medical policies to determine cause of denial
Consistently follows -ups with insurances on payor denials
As needed, communicate via telephone with clients, professionally and concisely.
Participates in projects that extend beyond your day to day to stretch you to think outside the box
Qualifications:
High School Diploma or equivalent required
Minimum two+ years prior experience dealing with healthcare billing, insurances/claims or accessing payor portals required
Experience with Explanation of Benefits (EOBs) and different denials & denial codes from insurances strongly preferred
Experience with Medicare/Medicaid/ HMOs/PPOs/commercial insurances strongly preferred
Revenue Cycle Management (RCM) experience, strongly preferred
Knowledge/experience with Xifin, CRM applications (i.e. Salesforce) preferred
Other desired skills:
Concise and professional communication skills to interact with clients, team members and management via various methods, i.e., telephone, email and virtually.
Detail oriented with good organizational skills
Ability to multitask within multiple systems
Adaptable with changing duties, following an SOP but able to problem solve and deviate as required by specific requests
Ability to manage time and tasks independently while working under minimal supervision
Professional and courteous email communication
Possess a strong work ethic and commitment to improving patients' lives
Enjoys problem-solving in a dynamic, fast paced, team-based and rapidly changing environment
Remote Work, requirements
Dedicated work from home space
Internet download speed of at least 50 megabytes per second
Application Window Closes: 1/1/2026
Pay Range: $ 17.75 - $21.00 per hour
Shift: Mon-Fri, 9:00am - 6pm Eastern Time
All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here.
Labcorp is proud to be an Equal Opportunity Employer:
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
We encourage all to apply
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
$17.8-21 hourly Auto-Apply 19d ago
Billing Coordinator III (Billing Specialist Subsidiary) REMOTE
Labcorp 4.5
Burlington, NC jobs
At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives!
**Billing Coordinator III (Billing Specialist Subsidiary) REMOTE**
Labcorp is seeking to add a **Subsidiary Billing Specialist (Appeals)- Revenue Cycle Management Division!** This **individual** will be primarily responsible for maximizing revenue for the company. This team interacts with health insurers to secure coverage and reimbursement for our patients. The Subsidiary Billing Specialist (Appeals) is expected to understand all aspects of the insurance appeal process and can identify insurance trends and provide impactful feedback. The result of our work is an innovative, flexible, highly scalable **billing operation** in a collaborative, fast-paced team environment.
**Responsibilities:**
+ Performs research of payer rejections and denials in regards to genetic testing claims
+ Produces high volume of successful appeals to insurance carriers to obtain payment
+ Collaborates with multiple teams and to develop best practices and resolve denial issues
+ Reviews payor medical policies to determine cause of denial
+ Consistently follows -ups with insurances on payor denials
+ As needed, communicate via telephone with clients, professionally and concisely.
+ Participates in projects that extend beyond your day to day to stretch you to think outside the box
**Qualifications:**
+ High School Diploma or equivalent required
+ Minimum two+ years prior experience dealing with healthcare billing, insurances/claims or accessing payor portals required
+ Experience with Explanation of Benefits (EOBs) and different denials & denial codes from insurances strongly preferred
+ Experience with Medicare/Medicaid/ HMOs/PPOs/commercial insurances strongly preferred
+ Revenue Cycle Management (RCM) experience, strongly preferred
+ Knowledge/experience with Xifin, CRM applications (i.e. Salesforce) preferred
**Other desired skills:**
+ Concise and professional communication skills to interact with clients, team members and management via various methods, i.e., telephone, email and virtually.
+ Detail oriented with good organizational skills
+ Ability to multitask within multiple systems
+ Adaptable with changing duties, following an SOP but able to problem solve and deviate as required by specific requests
+ Ability to manage time and tasks independently while working under minimal supervision
+ Professional and courteous email communication
+ Possess a strong work ethic and commitment to improving patients' lives
+ Enjoys problem-solving in a dynamic, fast paced, team-based and rapidly changing environment
**Remote Work, requirements**
+ Dedicated work from home space
+ Internet download speed of at least 50 megabytes per second
**Application Window Closes: 1/1/2026**
**Pay Range: $** **17.75 - $21.00 per hour**
**Shift: Mon-Fri, 9:00am - 6pm Eastern Time**
All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
**Benefits:** Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here (************************************************************** .
**Labcorp is proud to be an Equal Opportunity Employer:**
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
**We encourage all to apply**
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site (**************************************************** or contact us at Labcorp Accessibility. (Disability_*****************) For more information about how we collect and store your personal data, please see our Privacy Statement (************************************************* .
$21 hourly 18d ago
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Northwestern Memorial Healthcare 4.3
Chicago, IL jobs
Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes:
Audit of CPT codes associated with each procedure
Confirmation of supplies used and verification of alignment with operative notes
Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed.
Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures.
Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients.
Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms
Handles billing inquiries received via telephone or via written correspondence.
Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs.
Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification.
Performs activities and responds to patient inquiries related to billing follow-up.
Requests necessary charge corrections.
Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed.
Provides guidance regarding clinical documentation to optimize charges and RVUs
Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership.
The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accountsreceivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency.
RESPONSIBILITIES:
Department Operations
Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts.
Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture.
Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures.
Works with patients/clients to establish payment plans according to predetermined procedures.
Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts.
Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance.
Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies.
Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt.
Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion.
Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accountsreceivables.
Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department.
Perform daily systematic review of accountsreceivable to ensure all accounts ready to be worked are completed.
Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Denials and appeals follow-up including root cause analysis to reduce/prevent future denials.
Reviews, prepares and sends pre-collection letters as defined by department procedures.
Identifies and sends accounts to outside collection agency.
Prepares and distributes reports that are required by finance, accounting, and operations.
Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
Identify opportunities for process improvement and submit to management.
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
Communication and Teamwork
Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians.
Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls.
Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude.
Service Excellence
Displays a friendly, approachable, professional demeanor and appearance.
Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives.
Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team.
Supports a “Safety Always” culture.
Maintaining confidentiality of employee and/or patient information.
Sensitive to time and budget constraints.
Other duties as assigned.
Qualifications
Required:
High school graduate or equivalent.
Strong Computer knowledge, data entry skills in Microsoft Excel and Word.
Thorough understanding of insurance billing procedures, ICD-10, and CPT coding.
3 years of physician office/medical billing experience.
Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization.
Ability to work independently.
Preferred:
3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus.
CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus.
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
$45k-58k yearly est. 22d ago
Billing Coordinator I (Healthcare Billing Specialist REMOTE)
Labcorp 4.5
Raleigh, NC jobs
At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives!
**Billing Coordinator I**
Labcorp is seeking an entry level Billing Coordinator I to join our team! Labcorp's Revenue Cycle Management Division is seeking individuals whose work will improve health and improve lives. If you are interested in a career where learning and engagement are valued, and the lives you touch provide you with a higher sense of purpose, then Labcorp is the place for you!
**Responsibilities:**
+ Billing Data Entry involved which requires 10 key skills
+ Compare data with source documents and enter billing information provided
+ Research missing or incorrect information
+ Verification of insurance information
+ Ensure daily/weekly billing activities are completed accurately and timely
+ Research and update billing demographic data to ensure prompt payment from insurance
+ Communication through phone calls with clients and patients to resolve billing defects
+ Meeting daily and weekly goals in a fast-paced/production environment
+ Ensure billing transactions are processed in a timely fashion
**Requirements:**
+ High School Diploma or equivalent required
+ Minimum 1 year of previous working experience required
+ Specific work in medical billing, AR.AP, Claims/Insurance will be given priority
+ Previous RCM work experience preferred
+ Alpha-Numeric Data Entry proficiency (10 key skills) preferred
**Remote Work:**
+ Must have high level Internet speed (50 MBPS) connectivity
+ Dedicated work from home workspace
+ Ability to manage time and tasks independently while maintaining productivity
+ Strong attention to detail which requires following Standard Operating Procedures
+ Ability to perform successfully in a team environment
+ Excellent organizational and communication skills; ability to listen and respond
+ Basic knowledge of Microsoft office
+ Extensive computer and phone work
**Why should I become a Billing Coordinator at Labcorp?**
+ Generous Paid Time off!
+ Medical, Vision and Dental Insurance Options!
+ Flexible Spending Accounts!
+ 401k and Employee Stock Purchase Plans!
+ No Charge Lab Testing!
+ Fitness Reimbursement Program!
+ And many more incentives.
**Application Window Closes: 1/16/2026**
**Pay Range: $** **17.75 - $21.00 per hour**
**Shift: Mon-Fri, 9:00am - 6pm Eastern Time**
All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
**Benefits:** Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here (************************************************************** **.**
Rewards and Wellness | Labcorp
**Labcorp is proud to be an Equal Opportunity Employer:**
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
**We encourage all to apply**
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site (**************************************************** or contact us at Labcorp Accessibility. (Disability_*****************) For more information about how we collect and store your personal data, please see our Privacy Statement (************************************************* .
$21 hourly 4d ago
AR Analyst - Admn - Corona. Ca
Kpc Global Medical Centers Inc. 4.1
Corona, CA jobs
Job Title: AR Analyst
Department: Finance
Reports to:
Under the supervision of the Director of Revenue Cycle, provide A/R and Revenue support to the finance department.
RESPONSIBILITIES AND DUTIES:
Create accountsreceivable invoices for items such as: management fees, expense reimbursements, rents, benefits, stipends, etc.
Post payments to corresponding open AR invoices.
Assist with property management CAM reconciliations.
Assist with the sorting and reconciling of payments and correspondence for managed companies.
Update Excel spreadsheets
Maintain various revenue spreadsheets via Excel.
Perform Deposits
Compile and deposit checks/payments for all companies
Post applicable payments in finance software
Send Remits/Correspondence to Billing Companies
Upload and send all remits and correspondence to appropriate billing companies
Perform additional duties as assigned.
Reporting Relationships
:
The AR Analyst reports to the Director of Revenue Cycle Management.
Specifications:
Knowledge, Skills & Abilities:
A/R experience required
Deep understanding of finance, invoicing and reimbursement guidelines
Computer skills, including knowledge of Excel, Word, and Outlook.
Ability to handle multiple assignments at the same time with moderate supervision.
$53k-71k yearly est. Auto-Apply 60d+ ago
AR Analyst - Admn - Corona. Ca
KPC Global Medical Centers Inc. 4.1
Corona, CA jobs
Job Description
Job Title: AR Analyst
Department: Finance
Reports to:
Under the supervision of the Director of Revenue Cycle, provide A/R and Revenue support to the finance department.
RESPONSIBILITIES AND DUTIES:
Create accountsreceivable invoices for items such as: management fees, expense reimbursements, rents, benefits, stipends, etc.
Post payments to corresponding open AR invoices.
Assist with property management CAM reconciliations.
Assist with the sorting and reconciling of payments and correspondence for managed companies.
Update Excel spreadsheets
Maintain various revenue spreadsheets via Excel.
Perform Deposits
Compile and deposit checks/payments for all companies
Post applicable payments in finance software
Send Remits/Correspondence to Billing Companies
Upload and send all remits and correspondence to appropriate billing companies
Perform additional duties as assigned.
Reporting Relationships
:
The AR Analyst reports to the Director of Revenue Cycle Management.
Specifications:
Knowledge, Skills & Abilities:
A/R experience required
Deep understanding of finance, invoicing and reimbursement guidelines
Computer skills, including knowledge of Excel, Word, and Outlook.
Ability to handle multiple assignments at the same time with moderate supervision.
$53k-71k yearly est. 23d ago
Billing Coordinator II (Patient Financial Svcs) - FT/80
Springfield Hospital Center 4.3
Springfield, VT jobs
The Billing Coordinator II will:
Demonstrate patient accounting skills in three or more of the following areas: billing, follow-up, administrative support, customer service, and cash posting.
Be functional in computer-based applications in the following areas, EMR, Microsoft Office, Adobe Acrobat, and Clearinghouse software.
Demonstrate full compliance with government and contract regulation.
Meet internal and external customer's expectations.
Requirements
Associate degree
Bachelor's degree
(preferred)
Two (2) years' billing, collection, customer service, cash posting, and administrative support experience with a multi-hospital system. Five (5) years' experience
(preferred)
Two (2) years' experience with Microsoft Office Suite
(preferred)
Proficient in Microsoft Office Suite
Working knowledge of CPSI or other healthcare hospital EMR
Possesses excellent oral and written communication skills.
Patient advocacy skills.
Self-motivated and functions independently.
Demonstrates problem-solving and problem-prevention skills.
$50k-64k yearly est. 60d+ ago
Accounts Receivable Analyst - Hybrid - 3 Days
NMS Labs 4.4
Horsham, PA jobs
Title: AccountsReceivableAnalyst Department: Finance Job Type: Regular Full-Time Shift: 1st Schedule: Hybrid - Monday- Friday, 8:30am to 5:00 pm - 3 days in the office (Tuesday, Thursday and 1 other day of your choice.) NMS Labs has developed an extensive menu of more than 2,500 tests to support clients in forensic, criminalistic, public health and clinical fields. For over 50 years, our clients have relied on NMS Labs for unique testing solutions that demonstrate our company core values of Quality, Integrity, Service, Innovation and Engagement. As we work to increase the company's positive impact on public health and public safety, we are seeking talented professionals to join us for the journey! We invite you to learn more about our company by visiting NMSLabs.com.
Job Summary:
We are seeking an AccountsReceivableAnalyst to perform daily accounting, billing and pricing duties as assigned, to promote the efficiency of the department and meet reporting deadlines, collections of accounts, and special projects as assigned by the manager.
Major Duties and Responsibilities:
* Code paperwork for miscellaneous customers (via lookup in Workorder Viewer) with the account numbers and make copies for accountsreceivable records.
* Monitor TIQ Billing mailbox daily and forward to appropriate party to respond.
* Contact clients to request payment on past due accounts.
* Mail, e-mail, or fax invoices per the client's request.
* Enter adjustments and account updates sent to TIQ-Billing prior to generating invoices.
* Correct pricing related to Accumulated Charge Warnings prior to generating invoices.
* Enter Specimen Retention charges monthly.
* Generate, print, and sort invoices and review for accuracy.
* Create revised invoices for clients with special requirements as requested.
* Work with Sales and Client Services to resolve issues or answer questions about client invoices.
* Ensure all receipts have been properly posted to customer accounts and all adjustments have been properly recorded.
* Monitor Aged AccountReceivable and Power BI DSO reports on a regular basis to identify delinquent accounts.
* Ensure all receipts have been properly posted/applied to customer accounts and all adjustments have been properly recorded.
* Prepare account analysis spreadsheets for various client accounts as needed.
* Prepare journal entries for the monthly close as assigned.
* Assist with various audits as needed
* Other duties as assigned.
Requirements:
* Bachelor's degree with concentration in Accounting or Finance with a minimum 5 years of A/R experience
OR
* Associate degree with concentration in Accounting or Finance with minimum of 7 years of A/R experience.
* Working knowledge of MS Office
Knowledge, Skills & Abilities:
* Ability to work in a culturally diverse environment, showing respect, patience, professional attitude and kindness to co-workers.
* Ability to comprehend regulations and SOPs and apply them to work operations.
* Ability to hear and to read, write and understand the English language.
* Good decision making and problem-solving skills.
* Possesses good general ledger knowledge
* Good Microsoft Office skills - Excel, Word, Outlook.
* Excellent phone etiquette with clients and co-workers.
* Able to work independently and with minimal supervision.
* Able to plan and accomplish departmental goals and meet deadlines.
* Excellent organizational skills, analytical skills, and attention to detail.
* Knowledge of generally accepted accounting principles and be able to apply them effectively.
* Strong verbal and written communication skills, with ability to interact at all levels of management.
Physical Demands:
* Ability to talk, hear, stand, reach with hands and arms, and use hands and fingers to manipulate instrument/equipment controls, computer keyboard, office equipment, objects, or tools
* Moving from one work location to another to sit and stand, sometimes for extended periods of time
* Vision (with correction) including color, distance, peripheral vision, depth perception, and the ability to adjust focus
Offers of employment are made contingent upon a nationwide background investigation and urine drug screen with results satisfactory to standards of employment at NMS.
* We are an equal opportunity employer and will not discriminate against any employee or applicant for employment because of race, creed, sexual orientation, color, religion, gender, sex, sex identity, gender identity, national origin, age, marital status, citizenship status, otherwise qualified disability, or protected veteran status (disabled, Armed Forces Service Medal, recently separated, active duty or campaign badge).
$36k-48k yearly est. 26d ago
Homecare Billing Coordinator
Your Home Assistant LLC 3.4
Elk Grove, CA jobs
Job DescriptionBenefits:
401(k) matching
Bonus based on performance
Dental insurance
Health insurance
Paid time off
Training & development
Vision insurance
JOB OVERVIEW:
We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accountsreceivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue.
RESPONSIBILITIES:
Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues.
Accurately enter patient/customer billing data and charge accordingly
Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures.
Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing.
Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing.
Perform and ensure regular review and resolve discrepancies of accountsreceivables according to Company procedures, policy, internal controls, and payer requirements.
Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times.
Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes
Meet or exceed delivery of Company Service Standards in a consistent fashion.
Interact with all staff in a positive and motivational fashion supporting the Companys mission.
Conduct all business activities in a professional and ethical manner.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description.
QUALIFICATIONS
Minimum age requirement of 18.
High School graduate or GED required.
Two years experience in healthcare data entry, preferably in homecare
Cal-Aim, Tri-west, Long Term Care Insurance experience preferred
Two-year degree in accounting or equivalent insurance/bookkeeping preferred
Strong computer skills, including Word, Excel, and PowerPoint.
Strong analytical skills, organized work habits and proven attention to detail.
Excellent communication skills, ability to work independently and in a team environment.
Good customer relation skills.
Ability, flexibility and willingness to learn and grow as the company expands and changes.
Demonstrated leadership ability to initiate duties as required.
Plan, organize, evaluate, and manage PC files and Microsoft Office.
Compliance with accepted professional standards and practices.
Ability to work within an interdisciplinary setting.
Satisfactory references from employers and/or professional peers.
Satisfactory criminal background check.
Self-directed with the ability to work with little supervision.
Flexible and cooperative in fulfilling all obligations.
Job Type: Full-time
Benefits:
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to Relocate:
Elk Grove, CA 95758: Relocate before starting work (Required)
Work Location: In person
$42k-61k yearly est. 13d ago
Billing Coordinator - Stop Area Six
Healthright 360 4.5
San Diego, CA jobs
.
The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources.
The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing.
Key Responsibilities
Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered.
Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.).
Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks.
And, other duties as assigned.
Education and Knowledge, Skills and Abilities
Education and Experience Required:
High School Diploma or equivalent.
Previous work experience working with spreadsheets.
Previous work experience performing data entry.
Type 45 wpm.
Strong math skills.
Desired:
Bilingual.
AA Degree; Experience may substitute for this on a year-by-year basis.
We will consider for employment qualified applicants with arrest and conviction records.
In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.
Tag: IND100.
$45k-55k yearly est. Auto-Apply 60d+ ago
Accounts Payable Assistant (Full Time)
Skills of Central Pa 4.0
State College, PA jobs
Skills of Central PA is currently seeking a full time Accounts Payable Assistant to work in our Corporate office in State College. The Accounts Payable Assistant will perform a variety of accounts payable functions to include accurate coding, data entry, batch check runs, clerical and filing duties. The candidate we are seeking should be a clear thinker who can effectively organize their time and pay close attention to detail on a regular basis. We need someone who is capable of managing multiple tasks while maintaining accuracy, and this position requires someone who can work well both independently and as part of a small team.
Position is 1st Shift, weekdays, with little to no overtime. This is an in-office/in-person position.
Skills of Central PA prohibits hiring and employment discrimination on the basis of age, ancestry, race, color, disability, ethnic or national origin, gender, gender identity or expression, genetic information, HIV/AIDS status, military status, pregnancy, religion, sex, sexual orientation, socio-economic status, veteran status, or any other bases under the law. Skills is an equal opportunity service provider and employer.
Benefits:
401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Tuition reimbursement
Vision insurance
Requirements
Applicants must possess the following skills and knowledge: Must be able to understand and apply accounting principles and practices; Excellent data entry skills with strong attention to detail; Strong commitment to exceptional customer service and the preservation of confidentiality; Good written and verbal communication skills; Ability to work independently, as well as in a team environment; Ability to exercise sound judgement in decision-making; Ability to work in a fast pace environment and meet accounts payable deadlines. The applicant must also be proficient in the following areas: MS Office, including Excel, Word and Outlook for reporting and analysis; 10 key touch adding machine; Accounts payable software such as MAS 90, Peachtree, MAS 500, or equivalent system experience.
High school diploma or GED equivalent is required. A minimum of 2 years accounts payable experience is also required. Valid PA driver's license and successful completion of a pre-employment physical and drug screen required. Schedule will be Monday through Friday 8am - 4pm. Skills is an Equal Opportunity Employer.
Salary Description $19.00-23.00
$30k-36k yearly est. 38d ago
Billing Coordinator
Nextcare, Inc. 4.5
Tempe, AZ jobs
What we are looking for NextCare Urgent Care is looking for a Billing Coordinator to be a part of our Urgent Care Team. Responsibilities The Billing Coordinator will be responsible for the daily billing of claims for all carriers. This position will monitor and distribute the APN reports from the clearinghouse and insurance carriers and communicate this information back to the Billing Supervisor. This position will also assist in the posting of contractual, courtesy adjustments, as well as monitoring contractual analysis reports. This position will be assist with the table maintenance of the electronic billing system and clearinghouse information flow. They will be responsible for communicating billing trends to the manager as well as patient statement processing.
How you will make an impact
The Billing Coordinator supports the organization with the following:
* Responsible for the daily billing of claims to insurance carriers based on contract requirements.
* Help train new employees with NextGen, contracts, and business office Policies and Procedures.
* Monitor and distribute the APN reports generated by the clearinghouse and insurance carriers.
* Help post contractual adjustments and transfer deductibles to patient accounts.
* Assist with claim resubmission projects when necessary.
* Assist in maintaining Navicure with Waystar.
* Assist with reviewing accounts that have partial or under payments.
* Clean out daily the clearinghouse rejections and claims with errors held in the system.
* Post adjustments to accounts based on contractual rates and deductibles.
* Review accounts to determine if billed correctly.
* Assist other members of the team as needed.
Essential Education, Experience and Skills:
Minimum Education: High School diploma or equivalent.
Experience:
* Must have two years' experience billing, collections, payment posting, and electronic and paper claims.
* Experience with Managed Care contracts, Medicare and AHCCCS.
* Basic insurance knowledge, reading patient eligibility and benefit coverage details.
* Experience with revenue cycle and reimbursement in a healthcare facility.
* Microsoft Programs, Windows, Excel, Word, and Teams.
* Internet browser knowledge (basics) for Edge or Chrome.
Valued But Not Required Education, Experience and Skills:
Experience: Medical collections experience; NextGen software experience: Previous supervision experience in the healthcare field is helpful, Waystar Clearinghouse, Payer Provider Portals, and Basic Terminology of Medical Billing Practices.
$46k-62k yearly est. 9d ago
Accounts Receivable
Vista Healthcare 4.0
Saint George, UT jobs
Posting and completing all payments that are received at the billing department to the correct claims/accounts.
Answering billing phone calls and assisting with patients' insurance, and clinic billing questions.
Printing and mailing paper claims.
Processing refunds, overpayments, and credits.
Appling denial reasons to claims and scanning documents.
Processing Medical Record Denials.
Review patient bills for accuracy and completeness and obtain any missing information.
Knowledge of insurance information. I.e. Copay, deductibles, coinsurance. Etc.
Check each insurance payment for accuracy and compliance with contract discount.
Identify and bill secondary or tertiary insurances.
All accounts are to be reviewed for insurance or patient follow-up.
Assisting in collections process for patients on unpaid accounts
Assist in processing and handling Medical Records: requests, calls, clarifications, etc.
Accurately process incoming medical record request, ensuring proper documentation, data entry, and adherence to privacy regulations.
Phone Call Management: Answer and manage incoming phone calls regarding medical records, assisting patients, healthcare providers, and insurance companies with their inquiries and requests.
Monitor and support the medical records team to ensure efficient workflow and adherence to procedural standards.
Follow up on and address returned mail issues, reprocessing documents as necessary and ensuring timely resolution.
Qualifications
Qualifications:
Minimum of 1 year of experience in revenue cycle role
Strong leadership and interpersonal skills, with the ability to be self-motivated.
Excellent analytical and problem-solving skills
Proficiency in Microsoft Office and other relevant software
Excellent written and verbal communication skills
Detail-oriented
Ability to handle multiple tasks and prioritize effectively.
Love dogs? Crazy about cats? We are looking for an energetic, hard-working AccountsReceivable/Inventory Coordinator candidate. Reporting to the Director or Accounting, the candidate will have strong communication, customer service and organizational skills. Proficiency with Microsoft Office applications is expected; familiarity with Quickbooks and additional software programs is valued.
Key Responsibilities
AccountsReceivable
Invoicing, prepare monthly statements.
Process payments in Quickbooks and deposit into bank.
Vendor Relationships: vendor website and relationship maintenance with: Amazon, FedEx, Staples and On Trac
General Accounting support to include: document scanning, invoice entry support, helping to maintain and keep accounting forms current (i.e. T&E, Credit Cards), miscellaneous other tasks
Accounts Payable
Review invoices for appropriate documentation and approval prior to payment
Process 3 way PO, matching invoices, purchase orders and receivers
Process check requests
Match invoices to checks, obtain all signatures and distribute checks accordingly
Respond to Vendor Inquiries
Reconcile vendor statements, research and correct discrepancies
Miscellaneous
Sort and distribute incoming mail
Assist in Month end Closing
Maintain files and documentation thoroughly and accurately
Assist with other projects as needed
Qualifications
Working experience as accountsreceivable clerk, accounts payable clerk or accountant
Good understanding of basic accounting principles, fair credit practices and collection regulations
Proven ability to calculate, post and manage accounting figures and financial records Data entry skills along with a knack for numbers
Hands-on experience in operating spreadsheets and accounting software (Quickbooks software) - Proficiency in English and in MS Excel
Who We Are
Join us in the movement to ensure longer and healthier lives for dogs and cats. JustFoodForDogs is breaking new ground in the world of pet food! Vet-developed and recommended, we started cooking our whole food; human-grade, nutritionally balanced meals in Newport Beach in 2010 and we now have over 50 locations nationwide and within Petco, with continuing growth plans. We offer best in class benefits, health, dental, vision, 401k, Pet Insurance and Employee Discounts on our food and supplements. Learn more about what we do at ************************
The Accounts Payable Clerk is responsible for attending to all phases of accounts payable, including keeping all accounts payable reports and files updated and answering phone inquiries relating to vendor invoices. He/She is also responsible for assisting with the telephones in the Financial Services Department.
Qualifications
Education: High School Diploma or Equivalent
Experience: Two years accounting experience preferred.
About Us
Our Mission: Be the Difference
Our Vision: Excellence Always
Our Values: Safety, Compassion, Innovation & Excellence
Benefits:
We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!
$31k-38k yearly est. Auto-Apply 29d ago
RCM AR Specialist
Allergy Partners 4.1
Asheville, NC jobs
RCM AR Specialist
RESPONSIBLE TO: RCM Supervisor, AR Collections
JOB SUMMARY: Follows up on Claim Denials and overdue insurance balances using Explanation of Benefits (EOB) documents and reports. RCM AR Specialist are assigned specific book of business based on Financial Class and Payers. Work to support the field related to claim denials.
RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:
Daily Duties
Follows up on denied claims and no response within a timely manner.
Submits appeals related to contract rate variances with a discrepancy in allowed amounts; notifies Supervisor of payers for which this is a consistent problem.
Submit Medical Records when requested by the payer for claims processing determination.
Monitor and review Payer correspondence from the lockbox and faxes.
Monitor, review, and respond to Hub (field) communication inquiries within the 48-hour requirement.
Account Follow-Up
Using data from the monthly aged accountsreceivable report, calls payers or looks up claims status online to inquire about unpaid insurance claims that are 45 days old; records response or activity in the computer system “notes”.
Maintains detailed knowledge of practice management and other computer software as it relates to job functions.
Responds to written and telephone inquiries from insurance companies.
Builds and Maintain relationships with personnel from assigned carriers.
Meets with Pod Lead/Supervisor regularly to discuss and solve reimbursement and insurance follow up concerns.
OTHER
Maintains detailed knowledge of practice management and other computer software as it relates to job functions.
Attends all meetings as requested including regular staff meetings.
Attends Medicare and other continuing education courses as requested. Pursue and participate in education to remain current with changes in the Healthcare industry.
Performs any additional duties as requested by RCM Leadership.
Completes all assigned AP training (such as CPR, OSHA, HIPAA, Compliance, Information Security, others) within designated timeframes.
Complies with Allergy Partners and respective hub/department policies and reports incidents of policy violations to a Supervisor/Manager/Director, Department of Compliance & Privacy or via the AP EthicsPoint hotline.
Models the AP Code of Conduct and demonstrates a commitment to the AP Compliance Program, standards and policies.
SUPERVISORY RESPONSIBILITIES
This position has no supervisory responsibilities.
TYPICAL PHYSICAL DEMANDS
Physical demands are moderate with occasional lifting of items weighing approximately 20-30 pounds. Position requires prolonged sitting, some bending, stooping, and stretching. Good eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required. Employee must have normal range of hearing and vision must be correctable to normal range to record, prepare, and communicate appropriate reports. Working conditions are a professional office environment. If remote, must have functioning internet and are open to on-camera team calls. Occasional evening or weekend work.
The salary range posted for this position is the national average, however, actual compensation may vary depending on geographic location, job-related knowledge, skills, and experience.
Qualifications
EDUCATIONAL REQUIREMENTS:
High school diploma or GED equivalent, required.
College education or trade school preferred.
QUALIFICATIONS AND EXPERIENCE:
Previous Medical Billing and Collections experience preferred. Preference for those with a minimum of eighteen months experience.
Comfortable using email and interacting with Internet applications.
Knowledge of practice management and Microsoft processing software.
Proven understanding of Explanation of Benefits forms, claim forms and the insurance billing process.
Working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement.
Basic knowledge of CPT and ICD-10 coding.
Strong written and verbal communication skills.
The salary range posted for this position is the national average; however, actual compensation may vary depending on geographic location, job-related knowledge, skills, and experience.
$32k-38k yearly est. 5d ago
RCM AR Specialist II
Allergy Partners 4.1
Asheville, NC jobs
RCM AR Specialist II
RESPONSIBLE TO: RCM Supervisor, AR Collections
JOB SUMMARY: Follows up on Claim Denials and overdue insurance balances using Explanation of Benefits (EOB) documents and reports. RCM AR Specialist are assigned specific book of business based on Financial Class and Payers. Work to support the field related to claim denials.
RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:
Daily Duties
Follows up on denied claims and no response within a timely manner.
Submits appeals related to contract rate variances with a discrepancy in allowed amounts; notifies Supervisor of payers for which this is a consistent problem.
Submit Medical Records when requested by the payer for claims processing determination.
Monitor and review Payer correspondence from the lockbox and faxes.
Monitor, review, and respond to Hub (field) communication inquiries within the 48-hour requirement.
Account Follow-Up
Using data from the monthly aged accountsreceivable report, calls payers or looks up claims status online to inquire about unpaid insurance claims that are 45 days old; records response or activity in the computer system “notes”.
Maintains detailed knowledge of practice management and other computer software as it relates to job functions.
Responds to written and telephone inquiries from insurance companies.
Builds and Maintain relationships with personnel from assigned carriers.
Meets with Pod Lead/Supervisor regularly to discuss and solve reimbursement and insurance follow up concerns.
OTHER
Maintains detailed knowledge of practice management and other computer software as it relates to job functions.
Attends all meetings as requested including regular staff meetings.
Attends Medicare and other continuing education courses as requested. Pursue and participate in education to remain current with changes in the Healthcare industry.
Performs any additional duties as requested by RCM Leadership.
Completes all assigned AP training (such as CPR, OSHA, HIPAA, Compliance, Information Security, others) within designated timeframes.
Complies with Allergy Partners and respective hub/department policies and reports incidents of policy violations to a Supervisor/Manager/Director, Department of Compliance & Privacy or via the AP EthicsPoint hotline.
Models the AP Code of Conduct and demonstrates a commitment to the AP Compliance Program, standards and policies.
SUPERVISORY RESPONSIBILITIES
This position has no supervisory responsibilities.
TYPICAL PHYSICAL DEMANDS
Physical demands are moderate with occasional lifting of items weighing approximately 20-30 pounds. Position requires prolonged sitting, some bending, stooping, and stretching. Good eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required. Employee must have normal range of hearing and vision must be correctable to normal range to record, prepare, and communicate appropriate reports. Working conditions are a professional office environment. If remote, must have functioning internet and are open to on-camera team calls. Occasional evening or weekend work.
The salary range posted for this position is the national average, however, actual compensation may vary depending on geographic location, job-related knowledge, skills, and experience.
Qualifications
EDUCATIONAL REQUIREMENTS:
High school diploma or GED equivalent, required.
College education or trade school preferred.
QUALIFICATIONS AND EXPERIENCE:
Previous Medical Billing and Collections experience preferred. Preference for those with a minimum of eighteen months experience.
Comfortable using email and interacting with Internet applications.
Knowledge of practice management and Microsoft processing software.
Proven understanding of Explanation of Benefits forms, claim forms and the insurance billing process.
Working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement.
Basic knowledge of CPT and ICD-10 coding.
Strong written and verbal communication skills.
The salary range posted for this position is the national average; however, actual compensation may vary depending on geographic location, job-related knowledge, skills, and experience.