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As an Accounts Receivable Specialist, you will perform collections activities on outstanding accounts receivable for assigned Commercial and/or Medicaid payers within our Bardy Diagnostic Division.
Job Responsibility:
Perform collections activities on all outstanding claims for assigned payers
Demonstrate a basic understanding of compliance policies for Baxter, including commercial and government payers
Understand and consistently contribute to team goals, as well as how they support greater organizational goals
Enter and work all denials received from assigned payers within specified timeframe
Create, submit, and follow through on appeals for assigned payers
Research and reconcile credit balances on accounts
Process corrected claims and/or rebills to assigned payers as needed
Process adjustments following the established policy and procedures
Document and follow up on explanations of benefits (EOBs)
Identify and articulate trending payer issues and notify appropriate leaders in a timely manner
Provide quality customer service, with the ability to speak knowledgably to payers, patients, and other stakeholders
Ability to verify benefits and understand coverage criteria
Demonstrate a basic understanding of the business model
Understand and follow department policies, procedures, work instructions, job aids, and standard work requirements
Maintain regular, positive communication with colleagues, business partners, and stakeholders
Requirements:
High school diploma or equivalent required
Experience with medical collections and/or billing required
Strong written, verbal, and interpersonal communications
Strong attention to detail
Ability to work independently, multi-task, and organize/prioritize workload
Strong critical thinking and problem-solving skills
Ability to develop and maintain positive working relationships
Proficiency with Microsoft Office Software required
Nice to have:
Billing database software experience preferred
What we offer:
Support for Parents
Continuing Education/ Professional Development
Employee Heath & Well-Being Benefits
Paid Time Off
2 Days a Year to Volunteer
Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP)
401(k) Retirement Savings Plan (RSP)
Flexible Spending Accounts
Educational assistance programs
Paid holidays
Paid time off ranging from 20 to 35 days based on length of service