AR Billing Specialist

Summary

Join Valera Health, a leader in tele-mental health, as their Accounts Receivable Specialist! You will manage medical billing and collections, ensuring timely reimbursements. Key responsibilities include processing claims, handling denials, resolving discrepancies, and maintaining accurate records. A strong understanding of medical billing, insurance, and revenue cycle management is crucial. This role demands attention to detail, problem-solving skills, and proficiency in healthcare billing software. You will collaborate with insurance providers, patients, and internal teams. Valera offers competitive pay and a comprehensive benefits package.

Requirements

• Strong understanding of medical billing, insurance policies, and revenue cycle management
• Attention to detail
• Problem-solving skills
• Proficiency in healthcare billing software

Responsibilities

• Manage medical billing and collections to ensure timely reimbursement from insurance companies, government programs, and patients
• Process claims
• Follow up on unpaid or denied claims
• Resolve billing discrepancies
• Post payments
• Maintain accurate financial records
• Proactively resolve revenue cycle issues and respond timely to questions and concerns from patients and payers
• Research and review denied claims to ensure billing was appropriate and make corrections as needed. Send appeals, reconsiderations, or resubmissions to payers as needed
• Answer patient and insurance calls; promptly return and follow up to all interactions; promptly respond to requests for information, both internally and externally
• Take appropriate actions in Billing Software such as claim edits, rebills, and adjustments as needed to resolve claims and patient accounts
• Maintain and update patient billing information such as insurance and other demographics for claim reimbursement
• Coordinate with patients regarding outstanding balances
• Coordinate with patients regarding payment plans
• Answer calls & emails from patients with a 48-hour turnaround time
• Identify missing payments, overpayments and analyze credits on accounts
• Review and find trends or patterns of denials to prevent errors
• Assist and confer with coder and AR supervisors concerning any coding problems
• Support and participate in process and quality improvement initiatives

Preferred Qualifications

Bachelor's Degree

Benefits

• Health, Vision & Dental Insurance
• 401k through the Standard
• Paid Time Off
• Short Term Disability
• Life Insurance
• Office Equipment
• Annual performance bonus (potential)