Accounts Receivable Specialist

Juniper & Fern is seeking a Accounts Receivable / Revenue Cycle Specialist in Indianapolis, Indiana with a dynamic healthcare organization. The A/R Specialist's responsibilities include:

Initiate Billing, Charge Entry, Claim Edit, DNB, Stop Bills, Claim Rejection, Denial, Follow-up, No Response, Variance, Correspondence and Credit Balance Resolution. The Accounts Receivable Specialist communicates with the insurance carriers to ensure appropriate and compliant payment of services via: telephone, email, fax, payor website. This position reviews reports to determine trends and discusses with management to help resolve front-end errors, reviews and follows up on all claims not paid by carriers in a timely manner and claims not paid appropriately.

ESSENTIAL JOB FUNCTIONS:

· Assist customer service with follows up on patient calls within a timely manner

· Maintains department weekly production and monthly quality measures

· Communicates effectively and appropriately with internal and external customers

• Acts independently seeking guidance when necessary to remain compliant with federal, state, and hospital policies relative to insurance patient billing
• Initiates proper course of action for problem solving resolution
• Analyzes all claim denials to determine the best course of action to resolve any issue and receive appropriate payment
• Verifies and updates claims with insurance and demographic information when changes are needed
• Resolves inquiries from internal and external customers
• Takes active role in special projects as requested
• Gathers and distributes insurance information obtained through verbal and/or written communication for the purpose of maintaining sufficient cash flow
• Analyzes and resolves issues reported from the self-pay outsource vendor
• Utilizes interpersonal communication strategies/skills to achieve desired outcome/results with patients/families and others
• Provides coverage for co-workers as necessary due to PTO/illness
• Continues knowledge based learning on payor guidelines and requirements for appropriate billing

· Enter daily charges for clinics

· Works charge review in a timely and accurate manner to ensure appropriate billing of services

· Resolves claim edits, rejections (internal/external), DNB, Stop Bills, follow up, variance, denials, credit balance resolution and correspondence

· Initiate Billing/Charge Review resolution

JOB REQUIREMENTS:

• Three years of experience in medical practice/hospital setting with billing, insurance follow-up and/or credit balance experience.
• CPC Certification a plus
• Dental, Vision, Behavioral Health and/or DME experience a plus

written communication skills

Job Type: Full-time

Pay: $15.00 - $30.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Opportunities for advancement
• Paid time off
• Work from home

Schedule:

• 8 hour shift

Experience:

• Accounts receivable: 1 year (Preferred)

Ability to Commute:

• Indianapolis, IN 46220 (Required)

Ability to Relocate:

• Indianapolis, IN 46220: Relocate before starting work (Required)

Work Location: Hybrid remote in Indianapolis, IN 46220

Salary : $15 - $30