Description Robert Half is assisting a Healthcare client of ours to secure a tenured Medical Accounts Receivable Specialist to work in a fully remote environment. This specialist must have a minimum of 2 years of experience working Denied claims and insurance follow-up. This position does require previous experience working with EPIC, as EPIC training is not provided. This position is fast-paced and metrics based.This role is responsible for timely payment collection, efficient claim resolution, and precise financial record-keeping. The specialist will collaborate with insurance providers, patients, and internal teams to maximize revenue and adhere to billing standards.Daily Duties:
Full spectrum billing: Handle all aspects of billing, from initial claim submission to complex denial resolution.
Complex Claim Resolution: Address intricate accounts, including follow-up, appeals, and credit balance adjustments.
Proactive Claim Follow-Up: Pursue outstanding balances, investigate claim denials, and resolve issues by analyzing medical records, coding, and payer contracts.
Strategic Appeal Management: Craft persuasive appeal letters, advocate for claim reversals, and ensure compliance with billing and regulatory guidelines.
Efficient Claim Processing: Review daily clearinghouse rejections, identify trends, and take corrective action.
Meticulous Record-Keeping: Maintain accurate and detailed patient financial records, documenting all account activity.
Collaborative Problem-Solving: Work closely with healthcare providers to obtain necessary documentation and ensure timely claim processing and reimbursement.
Diverse Payer Expertise: Handle claims across multiple payor types, including Commercial, Medicare, Medicaid, Managed Care, Blue Cross, Title X, and more.
Strategic Account Management: Prioritize aged accounts, coordinate denial and appeal projects, and achieve key performance indicators (KPIs).
Effective Communication: Foster strong relationships with insurance companies, patients, and healthcare providers to resolve billing issues and ensure accurate claim submission.
Requirements
Bachelor’s Degree or equivalent experience
Minimum of 2 years of relevant medical account receivable experience
Previous experience in EPIC
Previous experience using ICD-10 Medical Coding and Current Procedural Terminology (CPT)
Knowledge of medical terminology
Strong analytical and problem-solving abilities
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
