Accounts Receivable/Medical Billing Specialist

Summary

Join MedCore Solutions as an Accounts Receivable (AR) Specialist and handle the full spectrum of billing and accounts receivable processes, focusing on hospital medical bill audits. You will prepare and submit claims, monitor accuracy, track outstanding accounts, resolve unpaid claims, manage denials, and reconcile accounts. Proficiency in Epic Systems is required. This role ensures timely reimbursement for healthcare services. The position requires at least 3 years of AR management experience, including 2 years in hospital billing, and extensive experience in hospital medical bill audits. The work is full-time, permanent work from home, with a Monday-Friday schedule and fixed weekends off.

Requirements

• Minimum 3 years of experience in AR management, with at least 2 years in Hospital billing
• Extensive experience in hospital medical bill audits
• Proficient in Epic Systems for billing, claims, and AR workflows
• Excellent analytical and problem-solving skills
• Exceptional attention to detail and organizational abilities
• Effective communication and negotiation skills for resolving payment issues
• Willing to work in a graveyard shift (US time zone)
• Reduce coding and billing error rate
• Achieve the target collections goals set and collections status report
• Reduced number of denials and complaints
• Achieve an accuracy rate of 99%
• Utilization of billing and coding software programs
• Processor: Either Intel Core i5 and up or AMD Ryzen 5 and Up
• RAM: 8GB and up
• OS: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). OS should be a legit license
• Internet Connectivity: At least 50 Mbps and should be wired
• Back-up connection and Power Supply
• Hard Disk: At least an SSD
• Processor - Apple M1 chip

Responsibilities

• Prepare, review, and submit claims for procedures
• Monitor and ensure accuracy in claim submissions and compliance with payer requirements
• Review and audit hospital medical bills to ensure accuracy and compliance with payer requirements
• Track and manage outstanding accounts receivable to ensure timely payments
• Follow up with insurance companies and patients to resolve unpaid claims and balances
• Identify, research, and resolve claim denials or underpayments related to Ambulatory/Emergency services
• Coordinate with coding and billing teams to rectify issues and resubmit claims
• Reconcile payments, adjustments, and account balances to maintain accurate financial records
• Ensure all accounts are accurately updated in the system
• Generate AR aging reports and provide insights into trends and challenges in payment cycles
• Contribute to monthly financial reporting for leadership review
• Stay updated on payer policies, coding guidelines, and Ambulatory/Emergency billing regulations
• Ensure compliance with HIPAA and organizational policies

Benefits

• Permanent Work From Home
• Weekly Paychecks
• Fixed Weekends Off
• Great Company Culture and No Micromanagement
• Thriving Company Culture with Complete Autonomy