Accounts Receivable Medical Collections Specialist

Sevita - Charlotte, NC

Part-time

Remote - Charlotte, NC

10,001+ employees

Social Assistance

About the position

At Sevita, we believe that everyone deserves to live well. For more than 50 years, our team members have provided home and community-based health care for adults, children, and their families across the United States. As a member of our corporate team, you'll help shape the work that supports how our business runs, the services we provide, and the relationships we build with those we serve and each other. Join us, and experience a career well lived. In the AR Collections Specialist role, you will contribute to the company's commitment to serve others by sending claims to the payer in a timely and accurate manner. This position is 100% remote and can be performed anywhere in the U.S. You will be responsible for reviewing and working on denials in the workflow system, payer portal, and/or clearinghouse portal daily. Additionally, you will prepare appeals as necessary and update the collections system with notes and a follow-up date. Clear and concise notes must be updated in the collections system as claims are worked, and you will communicate with other departments to obtain necessary information as needed.

Responsibilities

• Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily.
• Prepare appeals as necessary and update collections system with notes and a follow-up date.
• Update collections system with clear concise notes as claims are worked.
• Communicate with other departments to obtain necessary information as needed.

Requirements

• High school diploma or equivalent required; Associate or Bachelor's degree preferred.
• 2-3 years of experience with Medical Collections in a high-volume environment preferred.
• Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms.
• Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types.
• Strong analytical skills with the ability to collect information from different sources.

Benefits

• Full compensation/benefits package for employees working 30+ hours/week
• 401(k) with company match
• Paid time off and holiday pay
• Complex work adding value to the organization's mission alongside a great team of coworkers
• Job security with nationwide career development and advancement opportunities