Accounts Receivable Specialist
Apply NowLocation:
US
Company:
GoHealth Urgent Care provides comprehensive healthcare in a welcoming environment through over 250 centers nationwide, leveraging advanced technology and compassionate staff.
Summary:
The Accounts Receivable Specialist will follow up on unpaid claims, file appeals, and maintain relationships with providers and patients. Candidates need a high school diploma, 1+ years in healthcare billing, and relevant skills and certifications.
Requirements:
Hard Skills: Knowledge of CPT and ICD codes, Knowledge of insurance guidelines, Ability to calculate deductible and co-insurance
Credentials: High School Diploma or GED required, Associate’s degree in Healthcare Management/Health Information Management preferred
Experience: 1+ years of healthcare billing accounts receivable experience in a mid to large organization, 1+ years' experience working in a medical office
Job Description:
The Accounts Receivable Specialist is a goal-oriented, revenue-driven, highly accurate, and motivated professional. Primary duties include but are not limited to consistently following up on unpaid claims utilizing monthly aging reports, filing appeals when appropriate to obtain maximum reimbursement, and establishing and maintaining strong relationships with providers, clients, patients, and fellow staff. Secondary duties include but are not limited to data entry of all patient demographic, guarantor, and insurance information, posting procedures and insurance/patient payments, and balance to daily deposits.
JOB REQUIREMENTS
Education
- High School Diploma or GED required
- Associate’s degree in Healthcare Management/Health Information Management or related field preferred
Work Experience
- 1+ years of healthcare billing accounts receivable experience in a mid to large organization - required
- 1+ years' experience working in a medical office, preferred
Required Licenses/Certifications
- CPAR – Certified Patient Account Representative preferred
- Certified Medical Billing Specialist preferred
Additional Knowledge, Skills, and Abilities Required
- Hands-on knowledge of CPT and ICD codes
- Excellent phone, communication, organizational skills, computer skills, and mathematical skills
- Ability to maintain patient confidentiality
Core Competencies:
- Collaboration: Supports others and partners to work as a team. Actively listens, seeks feedback, and checks for understanding...
- Innovation: Embraces new ideas, processes, and tools, challenges the status quo, solves problems creatively, and strives for continuous improvement...
- Diversity and Inclusion: Assumes positive intent. Recognizes, values, and celebrates differences...
- Courage & Integrity: Does the right thing, especially when it is difficult...
- Accountability: Always shows initiative, demonstrates a bias to action...
Customer service skills:
- Ability to represent the Department in a professional manner when interacting with patients, guests, physicians, and their staff
- Ability to handle service issues professionally
- Ability to follow through with customers
Communication Skills:
- Ability to communicate effectively to patients about their medical conditions and the financial aspects of their care...
Keyboard skills:
- Ability to type proficiently
Teamwork:
- Ability to function effectively as an extension of the Center...
Medical Terminology & Insurance
• Knowledge of insurance guidelines for different states including Medicare, state Medicaid and workers comp...
Additional Knowledge, Skills, and Abilities Preferred
- Epic or eClinicalWorks experience
- Experience with Microsoft Excel and Word
ESSENTIAL FUNCTIONS
Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives...
All other duties as assigned.
Note: This job description is not inclusive of all the duties of the position. You may be asked by leaders to perform other duties. Management reserves the right to revise this position description at any time.
