Accounts Receivable Specialist - Healthcare

At XiFin, a culture of inclusivity is in our very fabric. We believe that this culture not only creates a more equitable and functional workplace, but also enhances our team members' work experiences by promoting creativity, innovation, and collaboration. Won’t you bring your unique talents and perspectives and join us to deliver The Power To Do Good?

Who are we looking for?

The Accounts Receivable Specialist provides support in the healthcare insurance reimbursement process, prepares outstanding accounts reports and gathers credit and/or reference information. You will be responsible for completing insurance claims in a timely and accurate manner, and will follow up on claims to clients, commercial/government payers (like Medicare or Medi-Cal), and patients to optimize overall reimbursement. You will research denials and rejections, settle payer issues, document activity, post adjustments, and demonstrate proficiency within the billing system. You will also be responsible for identifying and reporting on denial trends you identify that delay claims processing. This position requires a high level of customer service and communication with both healthcare patients and customers.

How much experience are you looking for?

You may be hired as an Associate Accounts Receivable Specialist or an Accounts Receivable Specialist based on your depth of skill and breadth of experience.

What does this position pay?

Compensation is determined by several factors which may include skillset, experience level, and geographic location.

The expected range for this role is $19.00 to $22.00, hourly base compensation. Please note this range is an estimate; actual pay may vary based on qualifications and experience.

What’s in it for me?

• Comprehensive medical benefits with telehealth services, mobile app, supplemental health plans and spending accounts coupled with tax advantages
• Tiered prescription drug plan coverage with varying levels of payment and mail-order, competitive pricing and overt-the-counter alternatives
• Dental PPO plan designed to give you the freedom to receive dental care from any licensed dentist of your choice
• Vision PPO plan providing the highest level of services from in-network vision providers and doctors
• Paid vacation accrual, company holidays, and floating holidays to unplug and unwind
• Free and confidential resource for childcare and eldercare support, legal services and identity theft protection, financial support, education materials, and mental health support administered through an Employee Assistance Program (EAP)
• Retirement planning through a 401k through PRINc with company match
• Life and AD&D coverage to provide peace of mind via financial protection and security
• Tuition Assistance to support your professional development
• Legal services with the ability to speak with an attorney regarding any personal legal matter
• Identify Theft Protection encompassing credit report and credit score analysis, 24/7 continuous monitoring with alerts, and comprehensive restoration services
• XiFin’s BeWell Program focusing on four pillars of health and well-being: physical wellness, mental wellness, financial wellness, and social wellness

What will you do?

• Research medical claim denials with healthcare insurance payers (commercial insurance companies or government payers)
• Prepare and submit appeals
• Identify trends when reviewing reasons insurance carriers deny medical billing claims, and work to resolve the trends with internal team members
• Work with patients and customers to answer questions and troubleshoot claim issues
• Ensure that documents are complete with accurate patient billing information for all services rendered
• Review all processing errors and analyze issues, identify root causes, and escalate as appropriate following escalation workflow

What education and experience do you need?

A combination of the following education and experience factors will be considered:

• High School diploma or G.E.D
• 2+ years' experience directly related in medical billing, medical claims/billing environment involving negotiation and/or problem resolution
• Ability to read and understand an EOB
• Intermediate knowledge of government program regulations, Medicare, and other third-party payers
• Experience with medical billing software
• Understanding of CPT and ICD-10 coding
• Well organized with a strong attention to detail
• Intermediate skill set with Microsoft Office Suite

Why XiFin?

XIFIN, Inc. is a San Diego based, private equity backed, innovative software and services company dedicated to unlocking a world where healthcare operates with efficiency. We help patients and healthcare organizations make informed, optimized decisions to deliver the best care and patient outcomes possible.

Our OmniSYS pharmacy division, headquartered in Dallas, Texas was created through acquisition with a mission to create software driven solutions for pharmacies, pharmacists, and the patients they serve.

We are self-driven innovators making a difference in the healthcare technology space.

If you are an individual with a disability and would like to request a reasonable accommodation as part of the application or recruiting process, please contact us at 858-436-2901.

EEO Statement

XIFIN is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.