Accounts Receivable Specialist

Summary

Join Forge Health as an Accounts Receivable Specialist and contribute to a mission-driven organization dedicated to providing high-quality mental health and substance use care. This remote position involves working directly with insurance carriers to follow up on claims, resolve payment issues, and ensure timely reimbursements. You will examine denied claims, submit appeals, and identify areas for improvement in billing processes. Maintaining confidentiality and adhering to regulations are crucial aspects of this role. The ideal candidate possesses 3+ years of A/R follow-up experience, 2+ years in healthcare insurance, and a Bachelor's degree. Forge Health offers a competitive salary, comprehensive benefits, and opportunities for professional development.

Requirements

• 3+ years of A/R Follow Up experience
• Bachelor's degree required
• Extremely detail-oriented with excellent analytical, problem-solving, and organizational skills
• Ability to keep confidential medical records of patients
• Works well in groups as well as individually, with minimal supervision
• Flexible, adaptive, punctual, and highly reliable

Responsibilities

• Work directly with insurance carriers via phone and web portals to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement
• Examine denied claims to determine reasons and correct denials to be reprocessed for payment
• Write and submit appeals to insurance carriers to resolve denials
• Works with management to identify, trend, and address root causes of rejects and denials
• Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, in order to identify and report billing compliance issues and payer discrepancies
• Ensures strict confidentiality of personal client information and data
• Drafts and edits documents/communications, as needed
• Assists clinical staff in providing excellent customer service to all clients
• Any other duties as required by supervisor

Preferred Qualifications

2+ years of A/R Insurance experience in the healthcare sector preferred

Benefits

• Competitive salary aligned with your experience
• Comprehensive paid time off package
• Annual time off to volunteer
• Parental leave
• Annual continuing education allocations
• Competitive medical, dental, and vision package
• Annual subscription to a leading meditation app
• An environment that fosters professional development including financing for advanced licensure and certifications
• Internal supervision opportunities
• Dedicated, motivated team and chance to be part of a highly ambitious medical startup
• Modern, elegant, and high-end work environment