Experienced Full Stack Accounts Receivable Specialist - Medical Billing and Revenue Cycle Management
About Us At CPa Medical Billing and Consulting, we are a leading 3rd party medical billing company that operates the "back office" services for over seven hundred providers. Our clients range from small doctor offices to large multi-specialty clinics and health centers. We are a privately owned company that prides itself on providing a quiet and interruption-free work environment, allowing our team members to excel in their roles. Job Summary We are currently seeking an experienced Accounts Receivable Specialist in medical billing to join our team. As an Accounts Receivable Specialist, you will play a crucial role in revenue cycle management, ensuring that our clients receive timely payments for their services. This is a fully remote opportunity, offering a competitive salary, bonus, and a full benefit package, including medical, dental, vision, generous PTO program, and employee 401k match. Responsibilities and Duties The successful candidate will be responsible for the following key tasks: Research and resolve aged accounts on assigned payers, prioritizing those approaching timely filing denial. Devote time weekly to work current rejections 1 to 90 days old, fix errors, and re-bill accordingly. Look up payer eligibility using payer websites or call payers to gather needed information for billing, and update all accounts in the system for that patient and promptly re-bill. Contact guarantors as needed to determine insurance coverage, drop tickets having no insurance to self-pay, and bill patient. Work and identify the reason for the credit balance, ensuring everything going to the patient is self-pay, and review tickets on hold, checking chart to be sure they should be on hold and release after days on hold for that payer if dollars exist. Initiate appeals to payers following the guidelines outlined for that payer, note account, and track appeal to resolution. Enter notes on all tickets with action taken and paste any proof of insurance eligibility. Be prepared to account for action taken on tickets, participate in meetings as instructed by management, and provide work status updates to management upon request. Meet or exceed all set deadlines and goals, and promptly inform management of any problems or changes with system or payers identified during the course of daily work. Offer assistance and share knowledge with co-workers either when asked or when necessary for the betterment of completing tasks, the overall account, and company. Participate in personal development training and cross-training as instructed by management, understand and follow all payer rules when setting up billing schemes on accounts to ensure accurate claims, and follow protocol by informing managerial staff of any problems and never contact clients without prior management approval. Understand coding rules and schemes to detect potential claim errors, consult with coders on those accounts in question, adhere to all office policies at all times, maintain confidentiality at all times, work special projects as assigned, retrieve voice mail several times daily, and return all calls within 24-hour period. Participate in being "part of the team" – contribute to a calm but enjoyable work place environment. Qualifications and Skills The ideal candidate will possess the following qualifications and skills: At least 1-3 years of full-time medical billing accounts receivable work experience. Availability to work full-time (40 hours per week) between the hours of 8am and 6:00pm Monday through Friday (no weekends). Strong work ethic and ability to work independently in a very busy office. Prior experience using GE Centricity and/or EPIC is preferred but not required. Completion of Medical billing/coding program or certification is strongly preferred. Benefits We offer a competitive salary, bonus, and a full benefit package, including: Medical, dental, vision insurance. Generous PTO program. Employee 401k match. Work Environment and Culture We pride ourselves on providing a quiet and interruption-free work environment, allowing our team members to excel in their roles. Our company culture values teamwork, open communication, and a commitment to excellence. Career Growth Opportunities and Learning Benefits We offer opportunities for career growth and professional development, including: Personal development training and cross-training. Opportunities for advancement within the company. Access to industry-leading training and education programs. How to Apply If you believe you have what it takes to join our team, submit your application without delay. We are keen to hear from talented candidates like you. Apply for this job