Accounts Receivable Specialist

Summary

Join Ni2 Health as an Accounts Receivable Specialist and contribute to the Revenue Cycle Team. The ideal candidate is action-oriented and eager to learn and grow within the organization.

Requirements

• Minimum Job Requirements High School Diploma (College degree preferred)
• Minimum of 5 years of Hospital and Physician claims follow-up and denials management required
• Excellent written and oral communication skills
• Excellent organizational, time management, and interpersonal skills
• Proficiency in Microsoft applications
• Proficiency with various hospital EMRs: Cerner, Epic, McKesson, CPSI, Meditech, Etc
• Proficiency with various billing systems: Waystar, SSI, Quadax, Availity, NaviNet, etc

Responsibilities

• Have proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC and Provider-based billing and AR follow-up knowledge
• Have a solid understanding of billing regulations related to Medicare and Medicare Advantage
• Be able to function independently to complete timely and thorough follow-up on unresolved hospital and physician claims
• Have strong proficiency in managing denied claims, including the ability to determine the root cause of denials, and providing requested information to health plans to resolve identified issues
• Have a strong proficiency in preparing and submitting appeals and reconsiderations to health plans
• Adapt quickly to proprietary tools and technology

Benefits

• Full benefits to include 401k with company match
• Progressive PTO policy with paid holidays