Description
A dedicated solo practitioner surgeon specializing in office-based and hospital-based surgeries is seeking an experienced Healthcare Accounts Receivable and Denial Management Specialist for a temporary remote contract role. The successful candidate will have a robust background in managing medical billing, accounts receivable (AR), and denial management within the surgical field. Your contributions will be essential in ensuring accurate and timely billing, following up on outstanding claims, and resolving denials to optimize revenue cycle management.
Key Responsibilities
- Oversee all aspects of accounts receivable, including monitoring aging reports and ensuring timely collections.
- Analyze and resolve claim denials and rejections while ensuring compliance with payer guidelines.
- Collaborate closely with insurance companies, patients, and internal billing teams to expedite payment resolutions.
- Conduct follow-ups on unpaid claims and pursue appeals for denied claims as necessary.
- Utilize EHR and billing software to accurately track and record transactions and status updates.
- Provide regular reports on AR status and denial trends to maintain the practice’s financial health.
- Work with office and hospital billing departments to ensure smooth workflow and transitions between outpatient and inpatient billing.
- Ensure adherence to coding standards and regulations (ICD-10, CPT, etc.).
Qualifications
- Strong experience in medical billing, accounts receivable, and denial management, preferably in a surgical setting.
- In-depth knowledge of payer policies, claim adjudication processes, and appeals procedures.
- Proficiency in EHR/EMR and billing software systems.
- Excellent communication and negotiation skills for effectively interacting with insurance payers and patients.
- Ability to work independently and manage tasks in a remote setting.
Preferred Certifications
Candidates with one or more of the following certifications are highly encouraged to apply:
- Certified Professional Coder (CPC)
- Certified Coding Specialist (CCS)
- Certified Outpatient Coder (COC)
- Certified Professional Biller (CPB)
- Certified Inpatient Coder (CIC)
- Registered Health Information Technician (RHIT)
- Registered Health Information Administrator (RHIA)
- Certified Risk Adjustment Coder (CRC)
- Certified Orthopedic Surgery Coder (COSC)
- Certified General Surgery Coder (CGSC)
- Certified Coding Specialist - Physician Based (CCS-P)
- Certified Evaluation and Management Coder (CEMC)
- Certified Professional Coder - Apprentice (CPC-A)
- Certified Professional Medical Auditor (CPMA)
Preferred Experience
- Experience with surgical billing in both outpatient office settings and hospital environments.
- Previous experience managing AR and denial management for surgical specialties, such as general surgery, orthopedics, or other related fields.
Contract Type
Temporary (3-6 months, with the possibility of extension based on performance and need)
Work Environment
This remote contract position offers flexibility and allows you to work closely with the solo practitioner and their billing team. Join us in making a positive impact on healthcare management!
Employment Type: Temporary