Mindoula

We identify, engage, and serve populations with behavioral health, medical, and social challenges across the continuum.

Accounts Receivable Representative

Accounts ReceivableAccounts ReceivableFull TimeRemoteTeam 201-500Since 2015H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

4 days ago

Salary

$21 - $27 / hour

High School2 yrs expEnglish

Job Description

• Accurately review denied claims to identify root causes • Execute appropriate corrective actions, including clinical appeals, corrected claims, and data updates to secure maximum revenue recovery • Communicate directly with insurance representatives to negotiate settlements on accounts and resolve systemic payment discrepancies • Monitor denial trends and provide actionable feedback to front-end billing and clinical teams to prevent recurring errors in coding, eligibility, or credentialing • Follow up on unpaid claims and appeals by tracking unpaid claims, contacting insurance companies to inquire about payment, and appealing denied claims as needed • Stay current on state and federal regulations to ensure all recovery efforts meet legal and contractual standards • Document all resolution activities and maintain an organized worklist of accounts, prioritizing those nearing timely filing or appeal deadlines • Other duties as assigned

Job Requirements

  • High school diploma or equivalent (Associate's or Bachelor's degree in healthcare or related field preferred)
  • At least 2 years of experience in account resolution
  • Experience with several billing and follow up systems
  • Knowledge of medical terminology, CPT and ICD-10 coding, and billing regulations
  • Proficiency in Microsoft Office suite and G Suite, especially Excel
  • Ability to read and interpret various insurance companies' EOBs
  • Detail oriented with accuracy, solid organization, and time management skills
  • Strong communication and customer service skills
  • Ability to work independently and as part of a team

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