Are you an experienced healthcare billing professional looking to join a team dedicated to providing exceptional patient care? We are seeking a detail-oriented Accounts Receivable Specialist to become a vital part of our client's revenue cycle team. This dynamic role involves managing billing and coding processes, resolving denied claims, submitting appeals, and working collaboratively with internal and external customers to ensure smooth operations. Key Responsibilities<ul><li>Stay up-to-date with current coding and billing practices to troubleshoot and resolve denied claims efficiently.</li><li>Process claim rejections held within the third-party clearinghouse system and ensure all necessary adjustments are completed.</li><li>Post and address claim denials identified during accounts receivable (AR) review.</li><li>Submit appeals for denied claims and process overpayments from third-party payers.</li><li>Communicate with third-party and government payers to ensure timely follow-up for missing or incorrectly denied claims.</li><li>Assist with eligibility and benefit verification for in-office surgical procedures, including calculating surgical estimates for patients.</li><li>Manage authorization requests for insurance carriers related to in-office surgeries and patch allergy testing.</li><li>Collaborate closely with the Surgery Coordinator team to ensure patients receive timely care and approval for necessary procedures.</li><li>Participate in team workshops to support project assignments and process improvements.</li><li>Provide support to internal and external customers via phone, billing help desk, and team emails.</li></ul>If you would like to be considered for this opportunity, please reach out to Victor Granados directly at 719-249-5153.

• Proven experience in accounts receivable processes, including cash applications and collections. • Strong knowledge of medical billing procedures and insurance claims. • Expertise in handling claim denials and appeals with third-party payers. • Familiarity with authorization submission for surgical procedures and allergy testing. • Ability to calculate surgical estimates and verify patient benefits accurately. • Proficiency in using medical billing software such as NextGen. • Excellent communication skills for interacting with insurance carriers and government payers. • Detail-oriented and organized, with the ability to prioritize tasks effectively.

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Colorado Springs, CO
onsite
Permanent
41600.00 - 45760.00 USD / Yearly
Are you an experienced healthcare billing professional looking to join a team dedicated to providing exceptional patient care? We are seeking a detail-oriented Accounts Receivable Specialist to become a vital part of our client's revenue cycle team. This dynamic role involves managing billing and coding processes, resolving denied claims, submitting appeals, and working collaboratively with internal and external customers to ensure smooth operations. Key Responsibilities<ul><li>Stay up-to-date with current coding and billing practices to troubleshoot and resolve denied claims efficiently.</li><li>Process claim rejections held within the third-party clearinghouse system and ensure all necessary adjustments are completed.</li><li>Post and address claim denials identified during accounts receivable (AR) review.</li><li>Submit appeals for denied claims and process overpayments from third-party payers.</li><li>Communicate with third-party and government payers to ensure timely follow-up for missing or incorrectly denied claims.</li><li>Assist with eligibility and benefit verification for in-office surgical procedures, including calculating surgical estimates for patients.</li><li>Manage authorization requests for insurance carriers related to in-office surgeries and patch allergy testing.</li><li>Collaborate closely with the Surgery Coordinator team to ensure patients receive timely care and approval for necessary procedures.</li><li>Participate in team workshops to support project assignments and process improvements.</li><li>Provide support to internal and external customers via phone, billing help desk, and team emails.</li></ul>If you would like to be considered for this opportunity, please reach out to Victor Granados directly at 719-249-5153.
2025-09-15T22:58:56Z