Inpatient AR Specialist - Remote

Job Description

Insight Global is seeking an inpatient rehab facility (IRF) AR specialist to work in the Revenue Cycle department for a large regional rehab client. As a IRF AR Specialist you will work remotely to minimize our client’s backlog of outstanding invoices with insurance companies to be paid. You will be responsible for ensuring efficient resolution of billing discrepancies and denials/rejection by promptly analyzing and understand Explanation of Benefits (EOB) or Remittance Advice (ERA) received from insurance carrier and taking appropriate action according to company guidelines and client-specific processes.

You will also be following up with insurance companies via phone calls or payer portals on denials and payments, identifying trends, and researching payer policies to provide insights to the management team. Additional you will be responsible for correcting and resubmitting claims, performing documentation and data entry, and monitoring accounts receivable follow-up work queues and reports.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.

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• 2+ year of insurance denials and payer follow-up experience
• IRF experience
• Must live in one of the approved states (FL, GA, AL, NC, SC, AK, KY)
• Knowledge of EOB (explanation of benefits)
• Familiar with various insurance carriers (BCBS, Tricare, Medicare, Medicaid, etc.)
• Understanding of Medical Terminology including CPT and ICD-10 Codes
• Great written and verbal communication skills
• Experience receiving inbound calls as well as making outbound calls to patients and providers
• Knowledge of facility vs. profee billing
• Proven track record of working 20 accounts per day
• Direct Data Entry (DDE)
• Secure Provider Online Tool (SPOT)
• Meditech Expanse
• On Base
• Thera Office
• Quadax
• Availity