Accounts Receivable Specialist

Summary

Join Prompt RCM as an Accounts Receivable Specialist and play a crucial role in revenue cycle management. You will ensure accurate and timely billing and reimbursement of medical services. Key responsibilities include preparing and resubmitting claims, analyzing rejected claims, following up on billing status, processing appeals, evaluating customer accounts, reporting billing issues, and generating monthly statements. The ideal candidate will have 1-3 years of experience in medical insurance claims billing and collections, proficiency in Google Workspace and MS Office, and excellent communication and problem-solving skills. Prompt RCM offers a competitive salary, remote/hybrid work environment, potential equity compensation, flexible PTO, and various other benefits.

Requirements

• One to three (3) years of experience in medical insurance claims billing and collections preferred
• Proficient in Google for Business, MS Office, Excel and Word
• A customer success-oriented attitude
• Excellent communication and negotiation skills
• Problem-solving aptitude

Responsibilities

• Prepare and accurately resubmit comprehensive corrected claims to various insurance companies, adhering closely to specific payer guidelines and contractual requirements, both electronically and via paper submission
• Conduct thorough analysis of first pass rejected claims, ensuring completeness and accuracy of information for subsequent clean claim submission, thereby minimizing delays in reimbursement
• Perform diligent research and follow-up on the status of primary and secondary billing claims for assigned insurance plans, proactively resolving any outstanding issues to expedite payment
• Review, assess, and process all claim appeals, meticulously resubmitting to insurance carriers with comprehensive and accurate supporting documentation to maximize reimbursement
• Evaluate customer accounts and recommend adjustments or write-offs to the Manager based on the collectability of accounts with insurance carriers or patients, maintaining a balanced approach to revenue recovery
• Identify and promptly report any billing problems, errors, or discrepancies to management, facilitating proactive resolution of billing trends and ensuring ongoing revenue integrity
• Generate and distribute monthly patient balance due statements in accordance with the explanation of benefits received from insurance carriers, fostering transparent communication, and facilitating timely resolution of outstanding balances

Preferred Qualifications

Experience with physical therapy EMR systems is a plus

Benefits

• Competitive salaries
• Remote/hybrid environment
• Potential equity compensation for outstanding performance
• Flexible PTO
• Company-wide sponsored lunches
• Company paid disability and life insurance benefits
• Company paid family and medical leave
• Medical, dental, and vision insurance benefits
• Discounted pet insurance
• FSA/DCA and commuter benefits
• 401k
• Credits for online and in-person fitness classes/gym memberships
• Recovery suite at HQ – includes a cold plunge, sauna, and shower