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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.
Job Responsibility:
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
Requirements:
At least 1 year of experience in medical accounts receivable or medical billing
Strong understanding of Managed Care Collections and Managed Care contract requirements
Proficiency in using electronic medical record systems, such as Cerner or Epic
Familiarity with medical billing forms, including UB04 and 1500
Knowledge of Medicare Advantage Plans and Capitation processes
Experience with CRM and ERP systems to support account management
Excellent organizational and problem-solving skills
Ability to communicate clearly and professionally with patients, insurance providers, and team members
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