Mid-Level Data Science and AI Engineer
Commit
Develop machine learning, LLM, and NLP products built to scale. Help make financial research accessible through reliable, production-ready systems.
खोलें
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A/R Management Specialist II - Remote, United States
Manage insurance denials, appeals, and accounts receivable for outsourced EMS billing and revenue-cycle operations. Fully remote role based in the United States.
विवरण
- Manage outstanding insurance receivables, denials, and appeals
- Conduct insurance and patient billing follow-up to support timely, accurate payment
- Complete duties in line with company standards and applicable state and federal requirements
- Contact patients, hospitals, insurers, facilities, and attorneys to investigate claims and verify insurance details
- Check with insurance carriers regarding overdue account status
- Achieve or surpass established productivity and quality targets
- Record account activity in the claims processing system
- Contact patients to confirm and follow up on insurance coverage
- Reduce aging receivables by consistently pursuing unpaid claims
- Review collection accounts before they are referred to an external agency
- Handle special projects assigned by the Manager
- Comply with applicable laws and regulations, including HIPAA
- Investigate and resolve complex accounts and escalated issues
- Conduct quality reviews of assigned claims
- Follow company attendance requirements
- Complete other assigned responsibilities
आवश्यकताएँ
- High school diploma or equivalent is required
- Associate degree is preferred
- At least two years of experience in healthcare claims processing, billing, or accounts receivable
- Practical experience preparing and submitting insurance appeals, including knowledge of payer denial codes and timely filing limits
- Working knowledge of ICD-10, HCPCS, and general medical terminology
- EMS billing experience is strongly preferred; experience in other medical specialties may be considered
- Proficiency with web-based tools, billing software, and payer portals
- Previous customer service experience
- Ability to collaborate effectively across departments and with team members
- Basic computer skills, including Microsoft Office experience
- Strong interpersonal, organizational, communication, and time-management abilities
- Strong investigative and research capabilities for resolving complex billing issues
- Effective critical-thinking and analytical skills
- Ability to work independently in a fast-paced, changing environment with minimal supervision
- Ability to manage the full role independently, including goals and business practices, while working remotely
- Compliance with applicable laws, regulations, HIPAA, and company standards is required
लाभ
- Competitive compensation based on experience
- Comprehensive benefits package
- 401(k) plan
- Remote work arrangement
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