Professional Accounts Recievable Specialist - EHS Patient Accounts - Full Time

Posted today

20 elliot hospital of city of manchesterManchester (NH)

SENIORITY

Senior

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About the role

Come work at the best place to give and receive care!
Who We Are: Here at Elliot Hospital, we take great pride in serving our community, patients, and families. If you meet the requirements below, and are ready for a great new adventure, consider applying!
About the Job: The Professional Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs. This role ensures proper reimbursement by preparing, submitting, and monitoring claims, and resolving outstanding account balances. The AR Specialist serves as a representative between the hospital, payers, and other internal departments to promote efficient claims resolution and compliance with federal, state, and payer-specific regulations.
What You'll Do: Prepare, review, and submit insurance claims accurately and timely, utilizing electronic and paper billing methods as required. Perform account follow-up on outstanding insurance balances, ensuring proper payment and reimbursement in compliance with hospital policy and payer guidelines. Assist Denial and Payment Variance teams in researching, analyzing, and resolving denied or underpaid claims, including technical and administrative denials, and escape complex issues when necessary. Collaborate with providers, coding, revenue integrity, and patient access teams to ensure claims are complete, accurate, and compliant. Retrieve, review, and submit medical documentation requested by insurance carriers to support claim adjudication. And more.
Who You Are: High school diploma or GED Required Epic Experience Preferred Why You'll Love Us Health, dental, prescription, and vision coverage for full-time & part-time employees Short term, long term disability, Accident insurance, & life insurance Tuition Reimbursement Referral bonuses Accrued earned time for full-time & part-time employees 403b Retirement plans, with generous employer contributions And more! Work ShiftM-F - 8:00am - 4:30pm SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law. SolutionHealth is an integrated health system uniquely focused on providing access to high-value primary and specialty care that meets the growing needs of the communities we serve. Together, Southern New Hampshire Health and Elliot Health System, the founding members of SolutionHealth, are committed to innovative models of care and collaboration that improve the health and well-being of more than half of million residents of our region. We start with committing to do the right thing, for each patient, always.

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