Entry Level Accounts Receivable

$41,600 - $52,000/Yr

Medasource - Louisville, KY

Full-time - Entry Level

Louisville, KY

Waste Management and Remediation Services

About the position

The Accounts Receivable Specialist II position at Eight Eleven Group is a full-time role based in Louisville, KY, with a focus on managing and resolving accounts receivable issues. The successful candidate will be responsible for handling various tasks related to the processing of claims, including calling payers, researching claims, and re-processing denied claims. This role requires a strong understanding of medical coding, specifically CPT, HCPCS, and ICD-10, as well as advanced knowledge of denial types and resolution steps. The position is expected to start as soon as possible and is structured as a 6-month contract-to-hire opportunity. In this role, the specialist will be expected to complete a minimum of 60 cases per day with a 90% accuracy rate. The responsibilities include monitoring and executing work within the Epic Work Queues, researching and resolving claim denials or rejections, and entering key claim detail information into various payer websites. The specialist will also be responsible for uploading medical records to resolve denials and following up with insurance companies regarding claims that have not received a response or have been denied due to incorrect information. The position requires strong communication skills, both verbal and written, to effectively interact with patients and management. The specialist will also need to inform management and relevant stakeholders about any correspondence or communication issues with service locations. This role is crucial in ensuring that the accounts receivable process runs smoothly and efficiently, contributing to the overall financial health of the organization.

Responsibilities

• Experienced in calling payers and doing the research as well as re-processing claims.
• Able to complete 60 cases a day with a 90% accuracy.
• Monitor and execute work within the Epic Work Queues.
• Research and resolve claim denials or rejections based on work team assignment.
• Key claim detail information into various payor websites, upload medical records to various websites to resolve denials.
• Follow up with correct insurance companies for claims with no response or for claims denied due to incorrect insurance information or denials for authorizations.
• Update charges and refile electronic or paper claims as needed.
• Follow up on calls or emails from Patient Financial Specialists, concerning patients requesting advanced assistance with their accounts.
• Inform management and relevant organizational stakeholders of correspondence and communication problems with service locations.

Requirements

• High school diploma or equivalent (required).
• Working knowledge of CPT, HCPCS, and ICD-10 coding (required).
• Advanced knowledge of denial types and resolution steps.
• 3 years related experience (required).
• Strong computer and keyboarding skills.
• Strong communication and problem solving skills.
• Proficient with data entry and multitasking in a Windows environment.

Nice-to-haves

• Desired experience with Microsoft Office Software (preferred).
• Familiar with Echo and Paceman.
• Familiar with Epic.

Benefits

• Dental insurance
• Health insurance
• Vision insurance