Ar/Medical Billing Specialist

Summary

Join MedCore Solutions, the healthcare division of Bizforce, as an Accounts Receivable (AR) Specialist specializing in Mental/Behavioral Health Services. You will manage the complete AR cycle, ensuring timely claim submissions and resolving payment discrepancies. Key responsibilities include billing and claims management, accounts receivable tracking, denial management, reconciliations, reporting, and compliance. This permanent work-from-home position requires at least 3 years of AR management experience, including 2 years in Mental/Behavioral Health Services, and proficiency in billing software and EHR systems. Competitive salary, benefits, and a thriving company culture are offered.

Requirements

• Minimum 3 years of experience in AR management, with at least 2 years in Mental/Behavioral Health Services
• Strong knowledge of Ambulatory/Emergency services billing codes, procedures, and insurance payer policies
• Proficiency in using billing software, AR systems, and Electronic Health Records (EHR) such as HST Pathways, Vision, Advantix, SIS Complete
• 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)
• 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
• For Mac: Processor - Apple M1 chip
• RAM: 8GB and up

Responsibilities

• Prepare, review, and submit claims for procedures
• Monitor and ensure accuracy in claim submissions 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
• Leave Credits
• Monetary Allowance
• Annual Bonus
• Weekly Paychecks
• Fixed Weekends Off
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary