Accounts Receivable Specialist at SafetyCulture managing the Group’s debtors ledger and overseeing debt collections. Responsible for resolving customer queries and improving processes.
About the role
- RCM Patient Accounts Receivable Specialist managing patient accounts and claims for women's healthcare. Collaborate with billing vendors and third-party payors ensuring accuracy and compliance in collections.
Responsibilities
- Research and resolve patient account issues by communicating with billing vendors and third-party payors to verify claim status and demographic information
- Prioritize daily workload using aging reports, account balances, and management-directed priorities
- Investigate and pursue unpaid claims with third-party payors until resolution is achieved
- Apply strong working knowledge of third-party payor rules and guidelines, with an emphasis on State Medicaid plans
- Maintain compliance with all Protected Health Information (PHI) security requirements
- Ensure consistent processing standards with a high level of accuracy and low error rates
- Collect, document, and forward account updates to billing vendors, including insurance submissions, payment postings, and removal from collections
- Respond to Requests for Additional Information (RAIs) and provide direction on next steps
- Resolve claim errors, demographic discrepancies, duplicate claims, and coverage issues within assigned work queues
- Perform additional duties as assigned to support Revenue Cycle operations
Requirements
- Experience with insurance collections, including Medicaid, Managed Care, BCBS, and Commercial accounts
- Knowledge of medical billing procedures, health plans, and claims processing
- Strong organizational skills with high attention to detail
- Proficiency in Microsoft Word and Excel
- Experience working with medical billing systems (e.g., EPIC, Allscripts, McKesson, or similar platforms)
- High School Diploma or equivalent
Benefits
- Paid time off & holidays so you can spend time with the people you love
- Medical, dental, and vision insurance for you and your loved ones
- Health Savings Account (with employer contribution) or Flexible Spending Account options
- Employer Paid Basic Life and AD&D Insurance
- Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan
- Paid Parental Leave
- 401(k) Savings Plan with match
- Legal Plan & Identity Theft Services
- Mental health support and resources
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