Accounts Receivable Specialist managing insurance claims processing and billing in hybrid or remote capacity for Cardinal Health. Handling complex claims, eligibility verification, and mentoring new hires while maintaining accurate records.
Responsibilities
Processes claims: investigates insurance claims; and properly resolves by follow-up & disposition.
Verifies patient eligibility with secondary insurance company when necessary.
Bills supplemental insurances including all Medicaid states on paper and online.
Mails all paper claims.
Acts as a subject matter expert in claims processing.
Manages billing queue as assigned in the appropriate system.
Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement.
Processes denials & re-submissions in accordance with company policy, regulations, or third-party policy.
Updates patient files for insurance information, Medicare status, and other changes as necessary or required.
Keeps email inbox requests up to date at all times; checks for new messages on an hourly basis.
Mentors new hires; assists management and team lead with motivating and coaching employees to succeed as needed.
Maintains accurate and detailed notes in the company system.
Adapts quickly to frequent process changes and improvements.
Is reliable, engaged, and provides feedback as to improve processes and policies.
Attends all department, team, and weekly company meetings as required.
Appropriately routes incoming calls when necessary.
Meets company quality Meets patient service quality standards.
Requirements
2-3 years of experience, preferred
High School Diploma, GED or equivalent work experience, preferred
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