Accounts Receivable (AR) Specialist

Job Summary: Under the direction of the Accounts Receivable [AR] Team Lead, the AR Specialist is responsible for resolving account balances by following up on all outstanding/denied claims within a timely manner. As an AR Specialist at RCS, you will play a vital role in ensuring the financial health of our clients by managing and resolving outstanding account balances. You will be responsible for following up on claims, investigating and resolving denials, and collaborating with the AR team to optimize revenue collection. This position is fully remote from the following states: AL, AZ, FL, GA, KY, MI, MS, SC, TN, TX, UT, VA, WA, WY Flexible hours. Create your own daily 8 hour work days. Must be within operating hours of 7am to 7pm EST. About Revenue Cycle Solutions, LLC (RCS): RCS is a leading provider of revenue cycle management solutions for healthcare organizations. We are committed to delivering exceptional service and innovative solutions that help our clients optimize their revenue cycle processes, improve financial performance, and enhance patient satisfaction. We value our employees and strive to create a positive and supportive work environment where everyone can thrive.

Our Mission

Statement:

• Collect as much as client structure allows
• Collect as quickly as possible
• Complete numbers 1 and 2 as efficiently as possible
• **RCS does not offer health insurance benefits

Responsibilities:

• Educate and promote RCS’s 3 objectives
• Attend scheduled cadence calls with Team Lead (weekly, bi-weekly, monthly, or quarterly) to review barriers preventing account resolution (client, payer, clearinghouse, etc.)
• Work together as a team to resolve those issues
• Perform all assigned AR functions every 30 days for all assigned accounts
• Follow-up on Claims in-process for specified amount of processing time - EX: Payor informs team members the claim will be in process for 14 days, AR Specialist should follow up in 15 days
• Prepared to provide feedback on Time Inflators and AR issues
• Identify Name Matching issues in Waystar and unmatch as necessary
• Work flagged office EOB denials and Waystar denials for accounts utilizing their own Waystar account
• Waystar front-end rejections
• Correct the rejections that can be corrected
• Add notes to any service-line balance issues for Remits team
• Waystar back-end denials (for applicable accounts)
• Communicate claim issues with Team Lead if unable to resolve
• Submit corrected/clean claims with corrected information when applicable
• Submit appeals as necessary (include all necessary documentation and information)
• Complete audits in a timely manner
• Notify Team Lead of software rule updates
• Identify electronic claim submission opportunities - communicate to Team Lead to add payer ID
• Log PDS daily and accurately
• Other duties as assigned

Expectations:

• Maintain Employee/Management/Client Confidentiality
• Promote and maintainTeam Vitality within and between teams
• Become proficient in all assigned platforms used by RCS as pertains to role
• Provide clear and concise communication

Requirement

• Revenue cycle management: 2 years (Required)
• Physical Therapy: 2 years (Required)
• Authorized to work in the United States (Required)
• Must reside in one of the states listed: AL, AZ, FL, GA, KY, MI, MS, SC, TN, TX, UT, VA, WA, WY (Required)
• Current or most recent role must be an Accounts Receivable Specialist /Medical Biller or similar (Required)

Benefits:

• PTO
• 401K
• Paid Holidays
• Paid Sick Time
• Office Equipment Reimbursement
• Flexible Work Hours
• Remote Work From Home
• ZayZoon

Join our team as an Accounts Receivable Specialist where your expertise will contribute significantly to enhancing client satisfaction and ensuring seamless operations within our organization. Job Type: Full-time Pay: $20.00 - $25.00 per hour Expected hours: 40 per week Benefits:

• 401(k)
• Paid sick time
• Paid time off
• Work from home

Application Question(s):

• Are you a U.S. Citizen? (Note: Proof of citizenship, such as a U.S. Passport or U.S. Birth Certificate, is required for this role.)
• What is your email address?
• What is your current or last employment title? (Note: An RCM position must be your current or most recent role to qualify.)
• What state do you live in? (Note: To be eligible, residency must be in one of the following states: AL, AZ, FL, GA, KY, MI, MS, SC, TN, TX, UT, VA, WA, or WY)?

Experience:

• Accounts receivable or Medical billing: 2 years (Required)
• Physical therapy: 2 years (Required)
• Internal medicine: 1 year (Required)
• Pain management: 1 year (Required)

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