Medical Accounts Receivable Specialist

Job Description

Job Description

We are looking for a motivated and detail-oriented Medical Accounts Receivable Specialist to join our team, working Monday through Friday from 8:00 AM to 4:30 PM. In this role, you will play a critical part in maintaining the financial health of our organization by handling Medicare billing, patient accounts, and insurance claims with precision and efficiency. Success in this position requires strong expertise in medical billing processes, exceptional customer service skills, and the ability to manage accounts through to their final resolution.
Responsibilities:
Process Medicare billing activities, ensuring accurate handling and management of patient accounts.
Submit both electronic and paper insurance claims in compliance with payer guidelines.
Bill patient claims promptly and manage associated patient accounts with attention to compliance and accuracy.
Perform timely payment follow-ups to resolve outstanding balances; communicate effectively with stakeholders as needed.
Review work list activities regularly to prioritize and address accounts requiring immediate attention.
Work all assigned accounts diligently until final resolution, documenting every step accurately.
Review remittances to verify charges processed or paid align with insurance contracts and fee schedules.
Interpret and understand the billing UB04 form and 1500 form.
Highlights of Required Skills/Knowledge:
Full understanding of Managed Care Collections and knowledge of Managed Care contracts, including their terms, language, and Federal/State requirements.
Familiarity with terms such as HMO, PPO, Medicare Advantage Plans, and Capitation, with a clear understanding of how payers process claims under these plans.
Proficiency in using electronic medical record (EMR) systems (e.g., Cerner, Epic) and billing software. For immediate consideration please call the Trevose PA office of Robert Half at 215-244-1870. Thank you!• Proven experience in accounts receivable and medical billing processes.
• Strong knowledge of managed care collections and contracts, including terminology and requirements.
• Familiarity with Medicare Advantage Plans and capitation payment models.
• Proficiency in processing insurance claims under various payer guidelines.
• Ability to work with electronic medical record systems such as Cerner or Epic.
• Skilled in using billing software to ensure accurate account management.
• Exceptional attention to detail and ability to document actions accurately.
• Strong communication and problem-solving skills to resolve account issues effectively.