Location: Watertown,MA, USA
Accts Receivable SpclstClick Here to Apply OnlineJob DescriptionLocation: Stewardship Health IncPosted Date: 7/22/2024Job Type: Full TimeDepartment: 1185.73004 TexasLouisiana Accounts Receivable MCSETPosition Summary:Under the direction of the Manager and Supervisor of Accounts Receivable Department, Specialist is responsible for resolution of patient account balances associated with insurance denials, answer incoming insurance and practice calls with the ability to explain charges, services and insurance billing questions. Work with practices and payers to resolve claim denials and comply with insurance and Stewardship Health procedures, guidelines and policies. Remote opportunityKey Responsibilities: Various aspects of medical billing; claim creation, claim submission, payment posting for insurance and patient balances. The AR Specialist must also obtain supporting documentation, i.e., medical records, EOB's Remits, Authorizations, referrals, etc., from through our email applications, scanning system, Medicare remittance system, and Meditech (hospital billing system). The AR Specialist will review, interpret and apply contractual terms. Identify and/or apply contractual and administrative adjustments. Monitor insurance denials by running reports and contacting insurance companies to resolve and recover denied claims.Monitor aging reports for timely follow-up on unpaid claims.Knowledge of payer authorization guidelines in an effort to determine if appeal requires a clinical review or can be handled from a technical perspective.Retroactive review of registration data to aid in the assurance of clean claim submittal.Accurately document claim actions taken within patient account / claims.Ability to navigate and toggle back and forth within multiple payer websites and internal billing systems to determine various aspects of account detail necessary for data management.Serve as a resource for problem solving issues related to registration, demographic and insurance errors.Work payer correspondence including support tickets, emails and phone messages from internal and external contacts.Work collaboratively with Coding, Provider Enrollment and Cash Posting team as well as coworkers, Team Leads, Managers and practice staff to resolve claim and account issues.Required Knowledge & Skills:Customer / Patient Account Services SkillsSuccessfully drives results while balancing multiple priorities and tasks Ability to keyboard at 35 words per minuteAbility to diagnose and troubleshoot problems, ability to perform mathematical calculationsMust have knowledge of ICD-9 and CPT-4 codingStrong knowledge on third party payors guidelines and procedures particularlyMedical terminology Possess strong verbal and written communication skillsPossess strong analytical skills and computer skills; including Outlook, Excel and Word.Education/Experience/Licensure/Other:Education: Associates Degree in Business, Accounting or Finance preferred.Experience:1-3 years experience and/or knowledge of insurance denials process, health care claims processing and follow-up background. 1-3 years billing experience and insurance knowledge (eligibility, registration, etc.)Certification/Licensure: Certified Biller preferredSoftware/Hardware: Prior experience with AthenaNet billing system is strongly preferredAbout Steward Health CareOver a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.For more information, visit About Steward Health CareOver a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.For more information, visit Application InstructionsPlease click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you