Note: The job is a remote job and is open to candidates in USA. Alliance Health System is hiring an Accounts Receivable Specialist to support healthcare providers by accurately processing claims, resolving denials, and maximizing reimbursements. The role investigates denied or underpaid claims, follows up with insurers and patients, and supports compliant revenue cycle operations.

Responsibilities

• Denial Management: Investigate and resolve claim denials by appealing, resubmitting, or making necessary corrections
• Follow-Up: Conduct regular follow-ups with insurance companies and patients to ensure timely payment of outstanding balances
• Compliance: Stay updated on industry regulations and compliance requirements to ensure adherence in billing practices

Skills

• Out of Network experience required
• Demonstrate strong desire and commitment to resolving medical claims and effectively collecting insurance reimbursements
• Must possess excellent organizational skills with thorough attention to detail in handling accounts receivable processes
• Ability to work independently and collaboratively within a group, fostering a team-oriented and efficient work environment
• Exceptional written and verbal communication skills are essential, showcasing the ability to interact professionally and effectively with both internal and external stakeholders
• Proven experience in resolving denied/underpaid claims and conducting thorough follow-ups with insurance providers to maximize reimbursements
• Extensive experience in various aspects of medical billing and collections, including but not limited to claim submissions, attorney follow-ups, and other duties relevant to the field
• Demonstrated proficiency in utilizing Excel and Google Sheets for data analysis and reporting purposes
• Proven track record of handling Out of Network billing processes effectively
• Familiarity with various Payer Portals for streamlined communication and efficient claims processing
• Prior experience in Conservative Therapy (Physical Therapy, Occupational Therapy, and Chiropractic), Medical (Physical Medicine and Rehabilitation, with expertise in Pain Management, Orthopedic, and Vascular disciplines), or Patient Accounts (Self Pay) is preferred
• Extensive experience with all Major Medical Insurance Providers, Work Comp, and Motor Vehicle claims is preferred
• Fluency in Spanish is a plus

Benefits

• 401(k) matching
• Medical, Dental & Vision
• Paid Time Off
• Sick Time
• Paid Holidays
• Remote

Company Overview