AR/Medical Billing Specialist

Summary

Join MedCore Solutions, a healthcare division of Bizforce, as an Accounts Receivable (AR) Specialist specializing in Ambulatory/Outpatient 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. The ideal candidate will have at least 3 years of AR management experience, including 2 years in healthcare, strong knowledge of Ambulatory/Emergency services billing, and proficiency in billing software. This permanent work-from-home position offers weekly paychecks, fixed weekend offs, and a great company culture. A competitive salary is also offered.

Requirements

• Minimum 3 years of experience in AR management, with at least 2 years in healthcare/Ambulatory/Emergency 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
• Weekly Paychecks
• Fixed Weekends Off
• Great Company Culture and No Micromanagement
• Thriving Company Culture with Complete Autonomy
• Unlock Your Potential with a Highly Competitive Salary