Job description

Job Summary
Billing Solutions is looking for a detail-oriented and motivated Post Payment AR Specialist responsible for working alongside a small staff in our Collections department to analyze EOBs, reimbursement reports and contracts as well as prepare and submit appeals to insurance companies when appropriate to obtain additional reimbursement. The Post Payment AR Specialist will also assist with research, take actions necessary to resolve issues with claims and improve collections and reimbursement rates. The candidate will also assist with resolving refund requests received. A strong candidate will have the ability to work independently to research and track incoming requests with the ability to report and articulate the information to management. This applicant will need to understand patient confidentiality and handle the information accordingly. The proper candidate should have excellent communication and negotiation skills. This an entry level full time 40 hour a week position working Monday through Friday. Starting hours will vary depending on applicant location as it is a fully remote position with our home office located in Arizona.

Primary Job Responsibilities:

• Analyze Explanation of Benefits, insurance carrier contacts, and general correspondence from insurance companies
• Prepare and submit insurance claim appeal letters
• Coordinate and document status of appeals until final resolution of the denial
• Track and monitor increases in revenue from appeals process
• Document the status of action steps taken to resolve outstanding claims
• Identify billing errors for correction and re-submission to insurance companies
• Follow up on payment errors, low reimbursement, and denials

• Research and document refund requests using predefined metrics to determine the validity of the request
• Coordinate the workflow between departments and interface with internal and external resources
• Compose correspondence in accordance with regulatory requirements in a clear, concise, grammatically correct format
• Maintain tracking system of correspondence and outcomes of refund requests
• Maintain files for all disputes
• Interface with insurance companies regarding refund requests
• These duties and responsibilities are not the full scope of the job description and are subject to change upon company and client demand. Additional tasks may be assigned from time to time dependent on current or projected business need.

Benefits:

• Paid time off
• Medical
• Dental
• Vision
• 401k after 1 year of employment

Job Type: Full-time

Pay: $15.00 - $17.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid sick time
• Paid time off
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: Remote

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