Medical Accounts Receivable Specialist

Job Description

Job Description

We are looking for a dedicated Medical Accounts Receivable Specialist to join our team on a long-term contract basis in Scranton, Pennsylvania. In this role, you will focus on managing and resolving outstanding accounts receivable while ensuring compliance with billing and payment processes. Your expertise in medical billing and insurance will play a key role in maintaining financial accuracy and delivering exceptional service.

Responsibilities :

• Monitor and follow up on aged accounts receivable to ensure balances remain within acceptable timeframes.
• Investigate and resolve rejected claims by payers, applying necessary corrections in the billing system.
• Identify and address payment posting errors, ensuring accurate updates and communication with relevant staff.
• Handle inquiries from patients and facilities regarding account balances and payment statuses.
• Research and reconcile outstanding credit balances, preparing refund requests as needed.
• Communicate payment trends and emerging issues related to payers, codes, or diagnoses to supervisors and leadership.
• Provide training and guidance to team members to enhance productivity and achieve departmental objectives.
• Develop and implement corrective action plans for identified billing or coverage errors.
• Prepare comprehensive reports to track progress and performance within the billing department.
• Proficiency in Epic Software for medical billing and accounts receivable management.
• Strong understanding of medical insurance processes and billing functions.
• Experience handling cash activity and payment reconciliation.
• Proven ability to research and resolve complex payment or billing discrepancies.
• Excellent communication skills to address inquiries and collaborate with team members.
• Familiarity with medical insurance claims and coverage policies.
• Strong organizational skills to manage multiple priorities effectively.
• Ability to identify trends and provide actionable insights to improve billing operations.