Description
Summary
What you'll do
-
Call US insurance companies to obtain claim status and payment information.
-
Follow up on outstanding accounts receivable and pending claims.
-
Investigate denied, rejected, or underpaid claims.
-
Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA).
-
Document call outcomes and actions taken in billing systems.
-
Resubmit corrected claims when required.
-
Escalate unresolved issues to supervisors or clients.
-
Work on aging reports to reduce outstanding balances.
-
Meet productivity, quality, and collection targets.
-
Ensure compliance with HIPAA and client guidelines.
What you have
-
Any Graduate (preferred)
- Good Communication
Key Performance Indicators
- Number of claims worked per day.
- Calls completed per day.
- Collection amount recovered.
- Reduction in AR aging.
- Denial resolution rate.
- Quality and compliance scores.
Experience
- 3+ Years of Experience
- Calling of Workers Comp claims and Refunds
- Experience in NextGen is preferred
Similar jobs
Est. 41,440 USD
Position Summary: The ABA Accounts Receivable (AR) Specialist focuses on reducing outstanding accounts receivable and timely cash collection. Duties and Responsibilities: The below reflects the essential functions consid…
Est. 49,536 USD
💼 AR & Collections Specialist Accounts Receivable / Collections 💵 Pay: $22.00 - $28.00 per hour 📄 Job Type: Full-Time 📋 JOB DESCRIPTION We here at Licensed Behavior Analyst Professional Services, PLLC are looking…
Summary As an Medical Coder Quality you will be assigning ICD and CPT codes based on the medical records provided following ICD and federal/Payor guidelines and client requirements for Evaluation and Management services/…
Est. 72,250 USD
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professiona…
Est. 72,250 USD
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professiona…
Est. 75,000 USD
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professiona…
Est. 55,000 USD
At Aylo Health, we work together to enrich the health and well-being of every life we touch. Our mission is to make quality healthcare simple and convenient. Because healthy people can do amazing things! We offer a work…
Why Choose Bottomline? Are you ready to transform the way businesses pay and get paid? Bottomline is a global leader in business payments and cash management, with over 35 years of experience and moving more than $16 tri…
Est. 125,000 USD
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professiona…
Summary As an Medical Coder Quality you will be assigning ICD and CPT codes based on the medical records provided following ICD and federal/Payor guidelines and client requirements for Evaluation and Management services/…
Est. 57,500 USD
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professiona…
Summary As an Medical Coder Team Lead you will be Leading your team in assigning ICD and CPT codes based on the medical records provided following ICD and federal/Payor guidelines and client requirements for Evaluation a…
Opportunity Overview: The Intake Specialist role is a key position supporting US healthcare operations by ensuring accurate and timely processing of patient and provider requests. In this role, you will support healthcar…
Est. 52,400 USD
Position Objective:Under the direct supervision of the Physician Reimbursement Supervisor, the Lead Patient Accounts Representative works in the Professional Billing Office (PBO) providing continuous support and educatio…
About the Role We are seeking an experienced RCM Manager to lead our Professional (CMS-1500) Billing operations across multiple specialties. This role owns end-to-end billing delivery for existing client accounts, drives…
Opportunity Overview:We are seeking a versatile and highly skilled Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—…
Est. 45,000 USD
Billing Specialist Job Description About Bluebird Kids Health Bluebird Kids Health is a dynamic organization that provides underserved communities with new access to value-based pediatric primary care. We are on a missio…
Opportunity Overview:We are seeking a versatile and highly skilled Lead Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding rev…
Est. 52,000 USD
Midi Health is the only comprehensive virtual care clinic for women in midlife navigating perimenopause, menopause, and other common midlife health challenges. Our platform provides care designed by experts, scaled by te…
Est. 85,000 USD
24 Hour Home Care is part of the TEAM Services Group family of companies. As a shared Talent Acquisition function, we are proud to support TEAM's recruiting efforts by helping to attract exceptional talent across the org…
Est. 45,000 USD
Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local optio…
Est. 45,000 USD
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, provider…
Est. 82,500 USD
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professiona…
Job Description – Trainer / Process Coach (Revenue Cycle Management - Medical Billing) Job Title: Trainer / Process Coach – Revenue Cycle Management (RCM)Department: Operations – Revenue Cycle Management (Medical Billing…
Overview: We are seeking a dedicated and detail-oriented Account Receivables Clerk to join our finance team. The successful candidate will be responsible for providing excellent customer service, assisting customers with…
Est. 45,000 USD
Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local optio…
Est. 45,000 USD
Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local optio…
Est. 62,500 USD
Accounts Receivable Specialist Full-time · Reports to RCM Manager · Remote Role Overview As our Accounts Receivable Specialist, you'll own the follow-through on claims after they're submitted — chasing down payment, reso…
Est. 65,000 USD
About Apex Skin: We are Apex Skin, and our mission is to provide the highest quality dermatology and dermatologic surgery care to patients across Northeast Ohio with promptness, compassion, and excellence. We pride ourse…
Est. 80,000 USD
About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professiona…