Accounts Receivable Specialist II
Riverview Health, Noblesville, IN, United States
Accounts Receivable Specialist II
Job Category: Professional or Business Support
Full-Time
Hybrid
Noblesville, IN 46060, USA
Job Responsibilities
Resolves higher dollar, aged accounts receivable to determine why a claim has not been paid and takes necessary actions to get claim paid immediately.
Promptly resolves denials by identifying the root cause of the issue and then taking any necessary actions to get denial overturned and paid promptly.
Works with payers, departments, management and patient (if required) to obtain necessary information for claim resolution.
Provides feedback to supervisor and ensures collecting the information of trends and responds to inquiries about trends.
Performs any necessary account adjustments in accordance with department policies.
Ensures assigned work queues are reviewed and resolved timely.
Monitors assigned work queues and payers for identification of potential problems.
Proactively escalates unresolved questions or issues. Shares information as necessary.
Other duties as assigned.
Education Requirements
High school diploma or GED
Experience Requirements
Minimum: Two (2) years of experience working with insurance balances in a business office or similar role.
Preferred: Three (3) years of insurance follow-up experience working in Epic EMR handling claims of moderate to high complexity
License/Certification Requirements
Minimum: None
Job Category: Professional or Business Support
Full-Time
Hybrid
Noblesville, IN 46060, USA
Job Responsibilities
Resolves higher dollar, aged accounts receivable to determine why a claim has not been paid and takes necessary actions to get claim paid immediately.
Promptly resolves denials by identifying the root cause of the issue and then taking any necessary actions to get denial overturned and paid promptly.
Works with payers, departments, management and patient (if required) to obtain necessary information for claim resolution.
Provides feedback to supervisor and ensures collecting the information of trends and responds to inquiries about trends.
Performs any necessary account adjustments in accordance with department policies.
Ensures assigned work queues are reviewed and resolved timely.
Monitors assigned work queues and payers for identification of potential problems.
Proactively escalates unresolved questions or issues. Shares information as necessary.
Other duties as assigned.
Education Requirements
High school diploma or GED
Experience Requirements
Minimum: Two (2) years of experience working with insurance balances in a business office or similar role.
Preferred: Three (3) years of insurance follow-up experience working in Epic EMR handling claims of moderate to high complexity
License/Certification Requirements
Minimum: None