Pain Specialists of America is a multi-site healthcare practice focused on interventional pain management, with clinics across Central Texas. Its clinicians provide minimally invasive treatments and individualized care plans for chronic and acute pain, including spine and back, nerve, joint, pelvic, post-surgical, and limb pain. The practice also supports access through new-patient appointments, self-scheduling, a patient portal, and an AI phone assistant, while working with referring physicians and therapy partners. Its multidisciplinary approach brings pain care and patient education together to help people manage their conditions and improve quality of life.
Remote Accounts Receivable Specialist
Handle medical billing denials, appeals, payments, and insurance correspondence in a fully remote role. Research payer policies and resolve aged accounts receivable discrepancies.
Opis
- Investigate claim denials and contact payers to confirm specific denial reasons as needed
- Contact patients to verify insurance information
- Prepare supporting documents and submit reconsiderations and appeals
- Track denial and rejection patterns and report them to management
- Investigate and resolve account discrepancies
- Research insurance policies and benefits to identify exclusions
- Review payer medical reimbursement policies and exclusions
- Process daily correspondence from patients and payers
- Follow assigned payers’ timely filing rules for claims, reconsiderations, and appeals
- Check account accuracy, including payments and adjustments
- Handle medical EOBs, patient deductibles and copays, and insurer or third-party correspondence
- Use payer websites to research and manage accounts
- Work aged AR EDI transactions and troubleshoot related issues
- Complete other assigned duties
Zahteve
- Experience with eClinicalWorks is preferred
- Experience with HST is strongly preferred
- At least 2–4 years of experience in medical billing, collections, or payment posting
- High school diploma or GED
- Strong time management and organizational skills
- Computer literacy
- Ability to prioritize workload
- Accurate and proficient 10-key data entry
- Ability to work independently and adapt to a fast-changing environment
- Knowledge of Medicare, Medicaid, Medicaid managed care organizations, and commercial insurance
- Strong problem-solving and critical-thinking skills
- Strong interpersonal and communication skills
- Knowledge of ICD-10 and CPT
- Compliance with HIPAA guidelines and regulations
Ugodnosti
- Fully remote work arrangement