Healthcare Emergency/Ambulatory AR/Medical Billing Specialist

Summary

Join our team as an experienced Accounts Receivable (AR) Specialist with expertise in Ambulatory/Emergency services. You will manage the complete accounts receivable 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 a minimum of 3 years of AR management experience, including 2 years in healthcare/Ambulatory/Emergency services. A bachelor's degree in a related field is preferred. We offer competitive salaries, benefits, and a thriving company culture.

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)
• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up
• Peripherals: Headset with noise-canceling feature

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

Preferred Qualifications

Bachelor’s degree in accounting, finance, or a related field

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