[Remote] Accounts Receivable Specialist

Note: The job is a remote job and is open to candidates in USA. Pinnacle Healthcare Consulting is a growing healthcare consulting company focused on professional billing for independent physician practices. The Accounts Receivable Specialist role involves supporting billing services, investigating outstanding claims, and providing customer support while ensuring compliance with regulatory standards.ResponsibilitiesAccountable for outstanding customer service to all external and internalDevelops and maintains effective relationships through effective and timely communicationTakes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely mannerMaintain up-to-date patient demographics and insurance informationIdentify errors through coding, charge entry and cash application processesComplete daily denials by working with insurance companies and adjusters to resolve problem accounts, re-file and re-open claims, file appeals and make decisions on adjustmentsInvestigate and work claims based on aging from date of serviceRefer refund request to refund specialistProvide first level customer service support for billing services including answering patient’s questions and researching account issues. Assist with customer’s pending items including charges, payments and denials and follow-up to confirm these items are resolvedDocument activity in an accurate and timely manner on the patient’s accountReview and prepare accounts for collectionsComplete and communicate progress on assigned tasks to ManagerMaintain proficiency and an appropriate level of knowledge with all systems required for task completionEnsure compliance with all state and federal billing regulations, including HIPAA, and report any suspected compliance issues to the respective Manager or RCM leadershipWork with RCM management team to improve processes, increase accuracy, create efficiencies and achieve the overall goals of PHRSOther duties as assignedSkillsHigh School diploma or equivalent is requiredMinimum 2 years of experience in medical billing or has graduated from an accredited medical collegeCandidate must understand government and managed care payment methodologies and demonstrate knowledge of terms such as contractual adjustment, allowed amount, coinsurance, denial and denial processesRequired to stay until 6:00 PM EST approximately one time every six weeks, in rotation, with other AR Specialists in order to cover customer service linesKnowledge of business office proceduresAbility to establish and maintain an effective working relationships with patients, physicians, client practice staff, and co-workersAbility to operate a computer, copier or fax machineAbility to sort and file materials correctly by alphabetic or numeric systemsVerbal and written communication skillsKnowledge of Microsoft Office ProductsAssociates Degree or higher in Medical Billing and Coding or a related field is preferred. A degree is not required if candidate has at least 2 years of prior billing experience in a physician practice medical billing environmentExperience in billing or health insurance claim processing preferredCPT, ICD-9, and HCPCS coding knowledge preferredExperience in one or more of the following billing software platforms is preferred - EPIC; Ideal; Allscripts; Centricity; Acumen-Epic; iSalus; AthenaExperience in one or more of the following specialties is preferred – Nephrology; OB/GYN; Gastroenterology; Internal Medicine; Long Term CareBenefitsMedicalDentalVisionSTDLTDHSA (as applicable with Employer contribution)401k Plan with employer matchCompany OverviewPinnacle seeks to help hospitals, health systems, physician groups and other health care organizations improve their clinical performance. It was founded in 1998, and is headquartered in Centennial, Colorado, USA, with a workforce of 201-500 employees. Its website is https://askphc.com/.