Sales West
For more than 20 years, BioTAB Healthcare, LLC has supported patients with lymphatic, wound, and circulatory disorders through proven treatment solutions. Headquartered in Missouri, we provide pneumatic compression devices and personalized service to help improve patient outcomes and quality of life. As a family‑owned company, we take pride in delivering expert care with a personal touch.
The Accounts Receivable Specialist performs resolution‑oriented activities with a focus on comprehensive medical billing, payment posting, and collection actions. While ensuring compliance with relevant laws, regulations, and company policies, this role is responsible for efficient cash collections through excellent reimbursement practices, accurately posting EFT, credit card, ACH, and check payments, and performing accurate claim billing. This role, reporting to our AR Supervisors and/or AR Quality & Support Supervisor, will emphasize process execution and quality control.
Responsibilities Payment Posting EFT, credit card, ACH, live check, and insurance payments. Researches and evaluates insurance payments and correspondence for accuracy and processes/post insurance and patient payments. Matches EOB and payment records with payments, processes write‑offs, batches, and scans payments with applicable record keeping.
Billing Accurate and timely submission of all claims for all payers; reviews and prepares daily claim/invoice submissions for primary, secondary, and tertiary payers and/or patient statements. Reviews rejected claims, performs correction activities, and ensures resubmission as appropriate. Ensures all Contract Billing Partner billing is submitted to the appropriate outsourced partner.
Collections Timely and accurate follow‑up on unpaid claims or patient accounts, works assigned lists of outstanding claim balances and/or patient accounts with multifaceted issues across different payers and patients. Identifies trends, conducts follow‑up, and performs root cause analysis on unpaid and under‑paid insurance claims across different payers. Analyzes and resolves billing discrepancies on patient accounts, communicates findings to patient, drafts appeals, and effectively overturns denied or under‑paid claims, performs remediation, appeals research, re‑bill, and payer resolution.
Compliance Ensuring compliance with relevant healthcare regulations, financial standards, and internal policies. Prepares year‑end schedules for review and other regulatory agencies, assists in monitoring compliance with Medicare regulations. Adheres to all relevant regulations and agency policies regarding patient intake and data management, including CMS and OFCCP guidelines related to our Quality Management System, documentation and process creation and training.
Analytical Skills Ability to analyze data, identify trends, and make recommendations.
Communication Skills Excellent communication and interpersonal skills to effectively collaborate.
Technical Skills Proficiency in accounting software, Microsoft products with proficiency in Excel.
Organizational Skills Excellent organizational and time management skills to manage a high volume of work and ensure timely processing of information.
Attention to Detail To ensure accuracy in patient records and insurance information.
Problem‑Solving Skills To address any issues or challenges that may arise during the intake process and within the established AR department workflow.
Experience College degree preferred or related previous experience.
1 year minimum: claim submission, payment posting, appeal and denial processes; medical device billing and/or general healthcare reimbursement, Medicare and commercial insurance carriers plan configurations in respect to calculations of coinsurance, deductibles, and percentages.
Preferred In‑Depth Knowledge: Healthcare methodologies in coding, coverage, criteria, and payments.
Benefits BioTAB Healthcare benefits include a 401(k) with company match, healthcare, vision, dental, life insurance, and short‑term disability.
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The Accounts Receivable Specialist performs resolution‑oriented activities with a focus on comprehensive medical billing, payment posting, and collection actions. While ensuring compliance with relevant laws, regulations, and company policies, this role is responsible for efficient cash collections through excellent reimbursement practices, accurately posting EFT, credit card, ACH, and check payments, and performing accurate claim billing. This role, reporting to our AR Supervisors and/or AR Quality & Support Supervisor, will emphasize process execution and quality control.
Responsibilities Payment Posting EFT, credit card, ACH, live check, and insurance payments. Researches and evaluates insurance payments and correspondence for accuracy and processes/post insurance and patient payments. Matches EOB and payment records with payments, processes write‑offs, batches, and scans payments with applicable record keeping.
Billing Accurate and timely submission of all claims for all payers; reviews and prepares daily claim/invoice submissions for primary, secondary, and tertiary payers and/or patient statements. Reviews rejected claims, performs correction activities, and ensures resubmission as appropriate. Ensures all Contract Billing Partner billing is submitted to the appropriate outsourced partner.
Collections Timely and accurate follow‑up on unpaid claims or patient accounts, works assigned lists of outstanding claim balances and/or patient accounts with multifaceted issues across different payers and patients. Identifies trends, conducts follow‑up, and performs root cause analysis on unpaid and under‑paid insurance claims across different payers. Analyzes and resolves billing discrepancies on patient accounts, communicates findings to patient, drafts appeals, and effectively overturns denied or under‑paid claims, performs remediation, appeals research, re‑bill, and payer resolution.
Compliance Ensuring compliance with relevant healthcare regulations, financial standards, and internal policies. Prepares year‑end schedules for review and other regulatory agencies, assists in monitoring compliance with Medicare regulations. Adheres to all relevant regulations and agency policies regarding patient intake and data management, including CMS and OFCCP guidelines related to our Quality Management System, documentation and process creation and training.
Analytical Skills Ability to analyze data, identify trends, and make recommendations.
Communication Skills Excellent communication and interpersonal skills to effectively collaborate.
Technical Skills Proficiency in accounting software, Microsoft products with proficiency in Excel.
Organizational Skills Excellent organizational and time management skills to manage a high volume of work and ensure timely processing of information.
Attention to Detail To ensure accuracy in patient records and insurance information.
Problem‑Solving Skills To address any issues or challenges that may arise during the intake process and within the established AR department workflow.
Experience College degree preferred or related previous experience.
1 year minimum: claim submission, payment posting, appeal and denial processes; medical device billing and/or general healthcare reimbursement, Medicare and commercial insurance carriers plan configurations in respect to calculations of coinsurance, deductibles, and percentages.
Preferred In‑Depth Knowledge: Healthcare methodologies in coding, coverage, criteria, and payments.
Benefits BioTAB Healthcare benefits include a 401(k) with company match, healthcare, vision, dental, life insurance, and short‑term disability.
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