Description

Job Title: Accounts Receivable Specialist

We are seeking a proactive and detail-oriented Accounts Receivable Specialist to oversee the accurate and timely processing of healthcare insurance claims. This role is responsible for investigating unpaid and underpaid claims, identifying and addressing root causes of payment delays, and taking proactive measures to secure reimbursements. The ideal candidate is highly skilled at navigating and resolving payer issues, familiar with behavioral health claims and motivated to maximize revenue cycle performance.

Essential Duties & Responsibilities:

• Oversee the end-to-end processing of behavioral health insurance claims.
• Investigate unpaid and underpaid claims to identify current and potential payment delays.
• Develop and execute strategies to address recurring payer issues, implementing proactive solutions to optimize claim resolution efficiency.
• Collaborate with and guide the Claims Resolution team to address and rectify payer issues, assigning work and coordinating special projects.
• Work closely with insurance companies, internal teams, and customers to resolve payment disputes, denials, or discrepancies in a timely manner.
• Prepare weekly and end-of-month reports to provide insights into claims processing and revenue cycle performance.
• Audit assigned accounts claims data for accuracy, ensuring all statuses, payments and denials are documented according to company standards and processes.

• 3+ years of experience in accounts receivable, auditing, healthcare billing, or insurance-related roles.
• Strong knowledge of healthcare insurance billing, claims processing, and EOB interpretation.
• Proficiency in accounting software and healthcare billing systems.
• Excellent analytical skills with a keen attention to detail.
• Strong problem-solving abilities, particularly in resolving insurance-related account issues.
• Excellent communication and interpersonal skills to collaborate with insurance companies and internal teams.
• Ability to work independently and manage multiple priorities. Desired Qualities:
• Familiarity with healthcare industry standards, insurance regulations, and behavioral health landscape.
• Strong understanding of the healthcare revenue cycle and insurance payment processes.
• A customer-centric mindset, ensuring positive experiences for clients during issue resolution.
• A passion for continuous improvement in AR processes and insurance payment collections.

At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with rich domain expertise and robust compliance norms.

Our four-prong approach of an excellent management team coupled with a detailed eye for processes experienced manpower, and cutting-edge technology helps us deliver superior, cost-effective services to our clients across the globe.

 Benefits:

• Health insurance
• Dental insurance
• Vision insurance
• Employer paid life insurance
• Employer paid short-term and long-term disability
• Voluntary additional life insurance
• Voluntary supplemental insurance
• Employee Assistance Program
• 48 hours of sick time after three months.
• 80 hours of vacation time after six months.
• $400 referral bonus

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