Accounts Receivable Specialist

Summary

Join Ni2 Health's Revenue Cycle Team as an Accounts Receivable Specialist! This remote position requires 5+ years of hospital and physician claims follow-up and denials management experience. You will manage denied claims, prepare appeals, and utilize various billing systems and EMRs. The ideal candidate is action-oriented, a team player, and possesses excellent communication and organizational skills. Ni2 Health offers a supportive work environment, competitive hourly wages, and a full benefits package including 401k matching and PTO.

Requirements

• Submit a full CV, cover letter and updated resume
• High School Diploma
• Minimum of 5 years of Hospital and Physician claims follow-up and denials management
• 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
• Team player
• Independent thinker and problem-solver
• Commitment to core values of Team, Integrity, Growth, and Innovation

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
• Other duties as assigned

Preferred Qualifications

• College degree
• Recent experience with Medicare and Medicare Advantage billing regulations

Benefits

• Hourly wage based on experience
• Full benefits to include 401k with company match
• Progressive PTO policy with paid holidays
• Remote position