Job DetailsJob Location: Remote, TN - Franklin, TN 37067Position Type: Full TimeEducation Level: High School Diploma/GEDTravel Percentage: NoneJob Category: Other PositionsUS Heart and Vascular is in need of a Remote Accounts Receivable Specialist to join our team. Responsibilities: \tResponsible for billing all patient claims in a timely manner \tPerform basic claims follow up activities to include claim status checks, basic claim edits corrections and rebills. \tWork daily claims rejection lists including but not limited to, eligibility, coordination of benefits, clearinghouse smart edits, etc. \tUtilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions. \tEstablish and maintain effective working relationships with carrier representatives and internal and external clients. Remain abreast of carrier/payer updates as it relates to Billing and Collections guidelines including claim submissions, claim appeals, grievance procedures and policy changes \tUtilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. \tResponsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud and Abuse laws. Requirements: \tHigh School Diploma or equivalent required \tKnowledge of the accounts receivables (A/R) process \tBachelor\'s Degree in a related field preferred but not required \tMinimum of 3 years of healthcare or insurance billing processing experience required \tKnowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulations \teClinicalWorks experience preferred but not required \tProficient in medical terminology, anatomy, and physiology \tStrong knowledge of ICD-1O coding \tFamiliarity with medical office procedures and billing practices Qualifications