Accounts Receivable Clerk

Accounts Receivable Clerk

We are looking for a skilled Accounts Receivable Clerk to join a remote team. As part of this contract position, you will play a key role in ensuring accurate claim management, resolving payment discrepancies, and maintaining compliance standards. This role offers the opportunity to contribute to a dynamic and inclusive work environment while supporting healthcare operations.

Responsibilities :

Analyze denied and pending claims to identify and address issues in third-party accounts receivable.

Initiate outbound calls to insurance providers to appeal claims and verify their status.

Coordinate resolutions with insurance carriers to reconcile discrepancies and streamline claim processing.

Process refunds and adjustments for insurance and patient accounts as needed.

Ensure compliance with organizational standards and industry regulations at all times.

Monitor worklists and meet daily production and quality metrics.

Familiarize yourself with explanations of benefits to effectively address claim inquiries.

Collaborate with team members to adapt to evolving business needs and responsibilities.

Conduct research using internet tools to support claim-related problem-solving efforts.

Requirements :

High school diploma or equivalent qualification.

Minimum of one year of experience working in healthcare accounts receivable or claims follow-up.

Proven experience with Medicare and commercial insurance providers.

At least one year of billing or collections experience in a hospital or facility setting.

Proficiency in Microsoft Office applications, including Word, Excel, and Outlook.

Ability to work an eight-hour shift, Monday through Friday.

Strong communication skills, both verbal and written.

Demonstrated ability to work independently and collaboratively in a team environment.