Insurance Receivable Specialist (Hybrid)

$52,000 - $56,160/Yr

Samiti Technology - New York, NY

Full-time

New York, NY

Professional, Scientific, and Technical Services

About the position

The Insurance Receivable Specialist is responsible for managing and resolving credit balances related to patient accounts in a timely and accurate manner. This role involves interacting with insurance carriers, processing refunds, and ensuring that all patient accounts are accurately noted and adjusted according to departmental policies. The position is hybrid, allowing for remote work after initial training, and is a full-time contract role with the potential for permanent placement.

Responsibilities

• Resolve credits balances in a timely and accurate manner.
• Ensure all charge corrections are processed and any appropriate resulting credit balances are resolved expeditiously.
• Investigate and resolve any patient account discrepancies as needed in accordance with departmental adjustments policies and procedures.
• Ensure all patient accounts are noted with the activity related to the credit/refund.
• Determine why an account has a credit with little or no supervision.
• Contact Insurance Carriers to determine the necessary information for Payment Posting Specialists and recommend posting to unmatched and miscellaneous accounts for follow up after month end closing.
• Process refunds and work offsets from all insurance carriers.
• Monitor Recoupment activities by payers for appropriateness.
• Respond to and resolve refund requests from payers.
• Analyze the patient's account for posting errors before considering a refund.
• Process all voided refunds in accordance with departmental policies and procedures.
• Execute charge corrections on an ad hoc basis.
• Assist with various special projects and audits as they arise.

Requirements

• High School Diploma/GED required; Bachelor's Degree preferred.
• Basic knowledge of Microsoft Excel and Word software.
• Excellent written, oral and organizational skills.
• Must be detail-oriented, highly organized, and able to perform with a high level of accuracy.
• Previous healthcare billing experience and speaking with insurance companies preferred.

Nice-to-haves

• Audit Control Specialist: 2 years (Preferred)
• Insurance Receivable Specialist: 2 years (Preferred)

Benefits

• Possibility of conversion to permanent placement after 1 year.
• Hybrid work model after training.