Medical Billing Accounts Receivable Specialist - Full Time - Hybrid

Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.

Experity offers the following:

• Benefits – Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
• Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
• Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
• Flexibility – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
• Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
• Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
• Team Building – We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party.
• Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Hybrid: Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed.

Job Type: Full time

Compensation: Starting at $17 - $19 hourly! 

Responsibilities: 

• Contact insurance companies regarding claim status, follow-up on denials or partial payments.

• Analyze denied claims to find the root cause and take necessary actions to resolve.

• Review explanations of benefits for correct adjudication and payment according to applicable managed care contract terms and reimbursement.

• Fixing any posting errors by applying payments and adjustments to patient accounts as appropriate.

• Submit corrected insurance claims and/or appeals, as necessary, with appropriate documentation based on payer guidelines.

• Complete and follow up on appeals done with insurance payers by paper, online or phone calls.

• Handling any insurance payer medical requests to ensure proper payment.

• Notating patient accounts with accurate information based on information received.

• Identify trends and payer issues related to billing and reimbursements and report to Supervisor with possible solutions to maximize efficiency.

• Responsible for notifying management of any trends for denials from payers.

• Review of unpaid claims, researching denials and/or lack of activity to ensure timely payment and maintain cash flow.

• Review and resolve any payer denials/rejections to ensure timely payments.

• Receive and resolve inquiries, concerns, or complaints related to patient accounts from patients, insurance carriers, employers, etc.

• Work escalations from other teams.

• Work Patient balances.

• Assist CSMs and others with AR questions or concerns.

• Communicate daily with internal and external customers via phone calls and written communication.

• Resolve internal emails within a 72-hour turnaround time.

• Maintain patient confidence by following HIPAA guidelines.

• Comply with applicable laws regarding medical billing standards and maintain patient confidence by following HIPAA guidelines.

• Review, track, and discuss productivity variances.

• Adhere to all Experity Succes