Accounts Receivable Specialist

Change Healthcare

Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.

Accounts Receivable Specialist

Fully Remote – U.S.

Position:

Follow-up of all outstanding A/R all payers, including commercial payers, auto and other liability payers, workers compensation payers, and self-pay. This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients, and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability, and includes the ability to interpret and rectify denials. Ability to research and resolve accounts assigned by management, making appropriate decisions on accounts to be worked to maximize reimbursement.

Core Responsibilities:

Research and re-bill unpaid claims
Research and resolve accounts appearing on Follow-up Reports.
Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked.
Correct all errors on electronic error reports using all available information.
Meet current production, utilization, and quality standards.
Participates in trainings/meetings with Payers, internal departments, offshore partners, Client contact(s) and TES Management, etc. to address trends in denials or unprocessed claims
Assists in identifying current and/or potential billing issues specific to outstanding receivable
Presenting data to appropriate parties and partnering to develop resolutions
Participates in daily production assignments that will continue to develop understanding and knowledge of processing guidelines and expectations of respective client(s) payer mix
Ability to take patient phone calls and assist Customer Service when business needs arise
Assist in other duties as assigned

Requirements:

High School Diploma or equivalent
2-3 years of additional schooling/related work experience; including a minimum of 1 year revenue cycle experience required
Basic knowledge of hospital Electronic Health Record (EHR) systems (including but not limited to Epic, Cerner, and/or Meditech)
Experience with insurance denials, appeals, and timely filing guidelines
Ability to confirm expected reimbursement per fee schedule
Experience in Worker’s Compensation and Motor Vehicle Insurance

Preferred Qualifications:

Working knowledge of insurance plans and coordination of benefits
Experience with Microsoft Office suite, including Excel
Ability to navigate payer portals and internet applications
Organized, detail oriented, ability to multi-task, and able to work well with others
Moderate to strong Epic experience

Working Conditions/Physical Requirements:

General office demands

Unique Benefits*:

Flexible work environments
Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets
Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships
Employee wellbeing programs and generous health plans
Educational assistance programs
US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions
Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies
Learn more at https://careers.changehealthcare.com
*Eligibility for some benefits may be limited or not available for part-time employees, be sure to speak with your Talent Advisor.

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