Physician Billing – Accounts Receivable Follow Up Specialist at Ensemble Health Partners

Ensemble Health Partners

Title: Physician Billing Accounts Receivable Follow Up Specialist

Location: United States – Remote

  • The Accounts Receivable Specialist role responsibilities include following up directly with commercial and governmental payers to resolve claim issues and secure appropriate and timely reimbursement.
  • Identify and analyze denials and payment variances and take action to resolve accounts including drafting and submitting technical appeals.

Other Job Duties include:

  • Examine denied and underpaid claims to determine the reason for discrepancies.
  • Communicate directly with payers to follow up on outstanding claims, file technical appeals, resolve payment variances, and ensure timely reimbursement.
  • Ability to identify with specific reason underpayments, denials, and cause of payment delay.
  • Works with management to identify, trend, and address the root causes of issues in the A/R.
  • Maintain a thorough understanding of federal and state regulations, as well as payer-specific requirements and take appropriate action accordingly.
  • Document activity accurately including contact names, addresses, phone numbers, and other pertinent information.
  • Demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management.
  • Needs to be a strong problem solver and critical thinker to resolve accounts. Must meet productivity and quality standards.

Performs other duties as assigned

Minimum Qualifications

  • High School Diploma

Other Knowledge, Skills, and Abilities required:

  • Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
  • Must pass typing test of 35 words per minute (error adjusted).
  • Excellent Verbal skills. Problem solving skills, the ability to look at the account and determine a plan of action for collection.
  • Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to different accounts to result in payment.
  • Adaptability to changing procedures and growing environment.

Other Knowledge, Skills, and Abilities preferred:

  • 2 or 4 year degree.
  • 1-3 years of relevant experience in medical collections or professional billing preferred.
  • Knowledge of claims review and analysis. Working knowledge of revenue cycle.
  • Experience working with the DDE Medicare system. Working knowledge of medical terminology and/or insurance claim terminology.

Scheduled Weekly Hours: 40

Work Shift: Days/Afternoons (United States of America)

We’ll also reward your hard work with:

  • Great health, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w/AD&D
  • Paid time off
  • Tuition reimbursement
  • And a lot more

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