Accounts Receivable Specialist

Summary

The job description is for an Accounts Receivable Specialist position at Ni2 Health within the Revenue Cycle Team. The role involves handling hospital and physician billing, managing denied claims, preparing appeals, and adapting to proprietary tools and technology. The company offers a remote work environment.

Requirements

• Solid understanding of billing regulations related to Medicare and Medicare Advantage - Recent experience preferred
• 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
• Adapt quickly to proprietary tools and technology
• 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
• Function independently to complete timely and thorough follow-up on unresolved hospital and physician claims
• Manage denied claims, including the ability to determine the root cause of denials, and providing requested information to health plans to resolve identified issues
• Prepare and submit appeals and reconsiderations to health plans

Preferred Qualifications

Recent experience preferred in understanding billing regulations related to Medicare and Medicare Advantage

Benefits

• Hourly wage based on experience
• Full benefits to include 401k with company match, progressive PTO policy with paid holidays