Accounts Receivable Specialist (2249)

Accounts Receivable Specialist US Heart and Vascular is in need of a Remote Accounts Receivable Specialist to join our team.Responsibilities:Responsible for billing all patient claims in a timely mannerPerform basic claims follow up activities to include claim status checks, basic claim edits corrections and rebills.Work daily claims rejection lists including but not limited to, eligibility, coordination of benefits, clearinghouse smart edits, etc.Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions.Establish and maintain effective working relationships with carrier representatives and internal and external clients. Remain abreast of carrier/payer updates as it relates to Billing and Collections guidelines including claim submissions, claim appeals, grievance procedures and policy changesUtilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc.Responsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud and Abuse laws.Requirements:High School Diploma or equivalent requiredKnowledge of the accounts receivables (A/R) processBachelor's Degree in a related field preferred but not requiredMinimum of 3 years of healthcare or insurance billing processing experience requiredKnowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulationseClinicalWorks experience preferred but not requiredProficient in medical terminology, anatomy, and physiologyStrong knowledge of ICD-O codingFamiliarity with medical office procedures and billing practices