Accounts Receivable Specialist

United Vein & Vascular Centers - Tampa, FL

Full-time - Mid Level

Tampa, FL

About the position

United Vein & Vascular Centers is seeking an Accounts Receivable Specialist to join our dynamic team. As a life-changing healthcare innovator, we are rapidly expanding our access to state-of-the-art, minimally invasive vein and vascular care across the country. The Accounts Receivable Specialist will play a crucial role in ensuring the financial health of our organization by managing and resolving unpaid claims efficiently and accurately. This position requires a proactive approach to follow up on all unpaid claims within our eClinicalWorks system, ensuring that all claims are processed in a timely manner and that any issues are addressed promptly. In this role, you will be responsible for reviewing assigned accounts to determine the appropriate actions needed for claim resolution, including appeals and resubmissions. You will follow up on all unpaid or denied claims with insurance carriers, ensuring that all necessary documentation is submitted and that claims are resolved effectively. Additionally, you will handle incoming correspondence, including refund requests, and will be expected to review and send appeals on claims as necessary. Your ability to compare progress notes to Local Coverage Determinations (LCDs) and medical coverage guidelines will be essential in this role, as will your capacity to conduct studies and special projects aimed at resolving outstanding accounts receivable. At United Vein & Vascular Centers, we are committed to fostering a supportive culture that prioritizes the success of our patients and our teams. We invest in our employees by providing competitive compensation packages, outstanding work-life balance, and opportunities for career advancement. We are looking for a detail-oriented individual who can thrive in a fast-paced environment and who shares our core values of Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity. Join us in our mission to transform lives and raise the bar for patient service and outcomes!

Responsibilities

• Prompt and accurate follow-up of all unpaid claims within eClinicalWorks.
• Follow-up on all unpaid/denied claims with insurance carriers.
• Review assigned accounts to determine appropriate action needed with regards to claim resolution, appeals, and resubmissions.
• Work all incoming correspondence including refund requests.
• Review and send appeals on claims.
• Compare progress notes to LCD's and medical coverage guidelines.
• Work accounts to resolution.
• Review medical documentation for medical necessity.
• Conduct studies/special projects to resolve outstanding accounts receivable.
• Demonstrate and promote a work culture committed to UVVC's Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity.
• Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, HIPAA, and other applicable laws and regulations.

Requirements

• 3+ years of Accounts Receivable experience in a medical setting.
• Proficiency working with Microsoft Office.
• Working knowledge of eClinicalWorks preferred but not required.
• Knowledge of insurance payer nuances.
• Knowledge of medical terminology and medical billing.
• Ability to multi-task in a fast-paced environment.
• Must be exceptionally detail-oriented.

Benefits

• Paid holidays
• Dental insurance
• Paid time off
• Vision insurance
• 401(k) matching
• Opportunities for advancement
• Life insurance