About this opportunity
VillageMD lists this On Site - CT; Accounts Receivable Specialist opportunity in rocky hill, Connecticut. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Job DescriptionThe Accounts Receivable (AR) Follow up position is responsible for management and resolution of all unpaid or denied insurance claims. This role works with insurance payers, patients, and internal teams to collect money owed and maintain a healthy cash flow. Core duties include working claim edits, claim rejections, denied claims, and unpaid or underpaid claims with the various payers including but not limited to the following: Medicare, Medicaid, Medicare Advantage, Medicare supplemental, commercial, and Liability insurances.Essential functions/Responsibilities• Claim Tracking: Check the status of unpaid or pending claims using payer websites, portals, or phone calls. • Denial Management: Research and resolve claim denials or rejections by reviewing codes, contracts, and medical records. • Appeals and Resubmissions: Write and submit appeal letters or correct claims to overturn denied claims and secure payment. • Account Documentation: Write clear and concise notes in the billing software for every action taken on an account. • Communication: Talk to insurance companies, patients, and internal departments to fix demographic or billing errors. Alert management to trends and issues needing escalation. • Adjustment Requests: Identify and request adjustments to insurance and patient balances. • Productivity/Quality: Ability to maintain productivity and quality as set based on department policies. • Confidentiality: Ability to follow HIPPA guidelines and policies and maintain PHI integrity. • Teamwork: Ability to work as a team player in department as well as with other departments as tasked/assigned.Qualifications: • High School diploma, GED or Equivalent Required • 3-5 years AR follow-up or full circle revenue cycle experience • Excellent oral and written communication skills • Excellent organizational and multitasking skills • Team Player • Self-motivated independent worker. • Previous experience in large Multi-Specialty Practice preferred • Epic knowledge preferred • CPC certification preferred
Worksite address
rocky hill, CT, 06067, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.