Medical Accounts Receivable Specialist

Job Description

Job Description

We are looking for a detail-oriented Medical Accounts Receivable Specialist to join our team in Palm Beach Gardens, Florida. This position offers an excellent opportunity for individuals with a strong background in medical billing and collections to grow their careers. The ideal candidate will be skilled in managing insurance claims, resolving billing issues, and maintaining precise financial records.

Responsibilities:

• Address patient inquiries about billing and provide detailed explanations of Explanation of Benefits (EOBs).

• Collect outstanding balances from patients and resolve denied or underpaid insurance claims.

• Investigate and resolve disputes related to insurance grievances, ensuring timely claim adjustments.

• Stay updated on current medical billing practices, insurance policies, and coding standards such as ICD-10 and CPT-4.

• Utilize medical billing software and systems, with a preference for experience in Athena and Google Workspace.

• Accurately process and manage accounts receivable, ensuring all transactions are recorded correctly.

• Communicate effectively with patients, insurance companies, and internal teams to resolve billing issues.

• Ensure compliance with all applicable regulations and policies related to medical billing and collections.

• Collaborate with team members to improve billing processes and enhance operational efficiency

• Minimum of 1 year of experience in medical billing or collections, with orthopedic experience preferred.
• Proficiency in handling accounts receivable, billing functions, and insurance claims management.
• Strong familiarity with accounting software, CRM, ERP systems, and medical billing platforms.
• Excellent written and verbal communication skills, with a focus on customer service and issue resolution.
• High attention to detail and accuracy in evaluating insurance documentation and financial data.
• Ability to work efficiently with tools such as Athena and Google Workspace.
• Solid understanding of medical coding standards, including ICD-10 and CPT-4.
• Demonstrated ability to analyze and resolve complex billing and insurance issues.