Accounts Receivable Specialist - Remote
ThedaCare, Appleton, WI, United States
Accounts Receivable Specialist
The Accounts Receivable Specialist submits billing to the appropriate party and follows-up for adjudication and payment of individual claims. Communicates with insurance and other payers, patients, guarantors, family members, and/or other medical staff for status of individual claims to manage accounts receivable.
Job Description:
Performs comparative analysis for accuracy of bill before submission to appropriate parties (i.e., charges, subscriber data, diagnosis/procedure codes, and late charges).
Processes claims in a timely manner according to contracts, regulations, department standards, and form requirements.
Generates phone calls to all parties to check status of unprocessed, unpaid, or rejected claims ensuring accurate and timely reimbursement.
Processes variety of correspondence from all parties taking appropriate steps to expedite timely resolution of claims payment.
Verifies insurance/payer and patient demographic information for accuracy of data collected at time of registration when appropriate. Inputs verification data to complete in-house claims generation of billing forms.
Re-bills accounts when new information is received requiring account updates with appropriate demographic and third party information to ensure payment. Updates patient record to indicate changes made.
Reviews internal and external reports for claims status.
Qualifications:
High School diploma or GED preferred
Must be 18 years of age
Physical Demands:
Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
Work Environment:
Climate controlled office setting with daily movement throughout the facility
Interaction with department members and other healthcare providers
Scheduled Weekly Hours: 40
Scheduled FTE: 1
Location: CIN 3 Neenah Center - Appleton, Wisconsin
Overtime Exempt: No
Worker Shift Details: Days
The Accounts Receivable Specialist submits billing to the appropriate party and follows-up for adjudication and payment of individual claims. Communicates with insurance and other payers, patients, guarantors, family members, and/or other medical staff for status of individual claims to manage accounts receivable.
Job Description:
Performs comparative analysis for accuracy of bill before submission to appropriate parties (i.e., charges, subscriber data, diagnosis/procedure codes, and late charges).
Processes claims in a timely manner according to contracts, regulations, department standards, and form requirements.
Generates phone calls to all parties to check status of unprocessed, unpaid, or rejected claims ensuring accurate and timely reimbursement.
Processes variety of correspondence from all parties taking appropriate steps to expedite timely resolution of claims payment.
Verifies insurance/payer and patient demographic information for accuracy of data collected at time of registration when appropriate. Inputs verification data to complete in-house claims generation of billing forms.
Re-bills accounts when new information is received requiring account updates with appropriate demographic and third party information to ensure payment. Updates patient record to indicate changes made.
Reviews internal and external reports for claims status.
Qualifications:
High School diploma or GED preferred
Must be 18 years of age
Physical Demands:
Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
Work Environment:
Climate controlled office setting with daily movement throughout the facility
Interaction with department members and other healthcare providers
Scheduled Weekly Hours: 40
Scheduled FTE: 1
Location: CIN 3 Neenah Center - Appleton, Wisconsin
Overtime Exempt: No
Worker Shift Details: Days