Remote AR Specialist - Medical Billing

reputed company is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and reputed company to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are reputed company outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, reputed company and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for reputed company and patients. Day in the Life of an AR Specialist Performs reputed company duties and responsibilities in accordance with local, state, and federal regulations and company policies. Utilize and apply industry knowledge to resolve new and aged accounts receivables by working various account types, including but not limited to professional claims, governmental and/or non-governmental claims, denied claims, aged accounts, high reputed company accounts, high dollar accounts, reimbursements, credits, etc. reputed company available resources and systems (both internal and external) to analyze patient reputed company information and take appropriate action for payment resolutions, document reputed company activity in accordance with organizational and client policies. Communicate professionally (in reputed company forms) with payer resources to include websites/payer portals, e- mail, telephone, customer service departments, etc. Maintain quality and productivity results at a level that meets departmental standards as reputed company by a daily/weekly/monthly average. Reviews claims data and supporting documentation to identify coding and/or billing concerns. Ability to interpret payer reputed company and identify contract variances affecting reimbursement. Utilize knowledge of the cash posting processing to obtain the necessary information to resolve misapplied payments. Demonstrate clear proficiency in reputed company-party billing requirements to include federal, state, and reputed company/managed care payers. Interpret claim scrubber edits/rejections and takes appropriate action necessary to resolve issues. Seek resolution to problematic accounts and payment discrepancies. Prepare appeal letters for technical denials by accessing specific payer appeal forms, submitting appropriate medical documentation, and tracking appeal resolution. Analyze accounts with critical thinking; consider payer reputed company and billing guidelines to ensure one- touch resolution. Further responsibilities may include reviewing insurance credit balances to determine root cause and take the steps necessary to resolve the account. Identify denials trends, root cause, and A/R impact. Serve as a resource to other team members and assist Team Leads with identifying A/R and denials trends. Other Duties as Assigned. Education and Experience requirements Must have had at least 2 years accounts receivable experience in a physician office setting. General Knowledge of HCPCS, CPT-4 and ICD-10 coding and/or medical terminology. Familiar with multiple payer requirements and regulations for claims processing. Must have a High School Diploma/GED. Position Benefits Have a daily impact on many lives. Excellent training if you are new to this field. Mileage reimbursement (if applicable) Crossroads matches the reputed company IRS mileage reimbursement reputed company. Community events that promotes belonging and education. Includes but not limited to community cook outs, various fairs reputed company to addiction treatment and reputed company, parades, addiction awareness for schools, and holiday events. Opportunity to save lives everyday!

Benefits

Package Medical, Dental, and reputed company Insurance PTO Variety of 401K options including a match program with no vesture period Annual Continuing Education Allowance (in reputed company field) Life Insurance Short/Long Term Disability Paid maternity/paternity leave Mental Health day reputed company subscription for reputed company reputed company is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company. Our Story Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path Apply tot his job Apply To this Job