Aspire Allergy & Sinus
About the Role
Aspire Allergy & Sinus is seeking a full-time Medical Account Receivables Specialist to evaluate assigned payers, including working rejections, invalid and denied claims, appeals, and follow‑up, to bring the account to final resolution on open accounts within a timely manner and to industry‑standard benchmarks. This position ensures accounts receivable compliance within industry rules, regulations, practice protocols, and company policy.
Schedule – Fully Onsite Work Monday – Thursday: 8 a.m. – 5 p.m. Friday: 8 a.m. – 12 p.m. (40 hour work week)
Key Responsibilities
Daily monitoring of invalid, rejections, and denials populated by the clearing house, diagnosing error messages, and making necessary corrections so the claim can be electronically accepted.
Demonstrate a thorough understanding of the Accounts Receivable function and compliance with Federal and State regulations and Aspire Allergy & Sinus Center policy and procedures.
Process Insurance Accounts Receivable reports per Revenue Cycle Manager work plan, beginning with >120 aging top dollar entries in descending order; research claim denial reasons and take appropriate follow‑up action for resolution.
Work correspondence in a timely fashion and submit medical records when requested.
Effectively communicate and explain benefits, statements, and EOBs to patients and front‑office staff.
Contact insurance companies for payment requests, overdue payments, denied claims, etc.
Identify refunds and complete refund requests according to company policy.
Accurately document issues and actions taken in accounts.
Identify and document new payer denial trends and notify supervisor for escalated follow‑up.
Maintain strong communication with Billing management team and, if necessary, elevate unresolved claim denials for follow‑up with plan representatives.
Ensure compliance with Aspire Allergy & Sinus Center Policies and Procedures to maximize efficiency and maintain confidentiality of all patient and financial information.
Maintain a working knowledge of Allergy, Asthma & Sinus coding.
Perform other duties as assigned, including phone coverage.
Skills, Knowledge & Expertise
Excellent mathematical skills, computer skills, Microsoft applications, and word processing programs.
Excellent writing and verbal communication skills.
Strong phone skills, inbound or outbound.
Strong attention to detail and goal oriented.
Ability to prioritize and manage multiple tasks.
Ability to work in a results‑oriented, fast‑paced environment, both individually and as part of a team.
Ability to establish and maintain effective working relationships with insurance carriers, patients, and employees.
Respect for the confidential nature of medical information.
Requirements
4+ years billing experience within the healthcare industry.
4+ years A/R experience with a proven record of collecting on accounts.
Benefits & Perks
Medical, Dental and Vision Insurance.
Generous Paid Time Off and Paid Holidays.
401(k) with generous employer match.
Life Insurance.
Gym Membership Discounts.
Equal Employment Opportunity Aspire Allergy & Sinus is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
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Schedule – Fully Onsite Work Monday – Thursday: 8 a.m. – 5 p.m. Friday: 8 a.m. – 12 p.m. (40 hour work week)
Key Responsibilities
Daily monitoring of invalid, rejections, and denials populated by the clearing house, diagnosing error messages, and making necessary corrections so the claim can be electronically accepted.
Demonstrate a thorough understanding of the Accounts Receivable function and compliance with Federal and State regulations and Aspire Allergy & Sinus Center policy and procedures.
Process Insurance Accounts Receivable reports per Revenue Cycle Manager work plan, beginning with >120 aging top dollar entries in descending order; research claim denial reasons and take appropriate follow‑up action for resolution.
Work correspondence in a timely fashion and submit medical records when requested.
Effectively communicate and explain benefits, statements, and EOBs to patients and front‑office staff.
Contact insurance companies for payment requests, overdue payments, denied claims, etc.
Identify refunds and complete refund requests according to company policy.
Accurately document issues and actions taken in accounts.
Identify and document new payer denial trends and notify supervisor for escalated follow‑up.
Maintain strong communication with Billing management team and, if necessary, elevate unresolved claim denials for follow‑up with plan representatives.
Ensure compliance with Aspire Allergy & Sinus Center Policies and Procedures to maximize efficiency and maintain confidentiality of all patient and financial information.
Maintain a working knowledge of Allergy, Asthma & Sinus coding.
Perform other duties as assigned, including phone coverage.
Skills, Knowledge & Expertise
Excellent mathematical skills, computer skills, Microsoft applications, and word processing programs.
Excellent writing and verbal communication skills.
Strong phone skills, inbound or outbound.
Strong attention to detail and goal oriented.
Ability to prioritize and manage multiple tasks.
Ability to work in a results‑oriented, fast‑paced environment, both individually and as part of a team.
Ability to establish and maintain effective working relationships with insurance carriers, patients, and employees.
Respect for the confidential nature of medical information.
Requirements
4+ years billing experience within the healthcare industry.
4+ years A/R experience with a proven record of collecting on accounts.
Benefits & Perks
Medical, Dental and Vision Insurance.
Generous Paid Time Off and Paid Holidays.
401(k) with generous employer match.
Life Insurance.
Gym Membership Discounts.
Equal Employment Opportunity Aspire Allergy & Sinus is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
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