US Healthcare Emergency/Ambulatory AR/Medical Billing specialist

As a US Healthcare Emergency/Ambulatory AR/Medical Billing Specialist at BizForce, your primary responsibilities will include preparing and submitting claims for medical procedures, managing the accounts receivable cycle, and ensuring timely payment resolutions. You’ll be tasked with tracking outstanding payments, handling denial management, reconciling accounts, generating reports and ensuring compliance with healthcare regulations. This position is crucial in streamlining our revenue cycle and maintaining outstanding financial records.

To qualify for the US Healthcare Emergency/Ambulatory AR/Medical Billing Specialist role at BizForce, candidates should possess a Bachelor’s degree in accounting, finance, or a related field. Additionally, a minimum of three years of experience in accounts receivable management, including at least two years focused on healthcare billing specific to Ambulatory and Emergency services, is essential. Strong knowledge of relevant billing codes, payer policies, and experience using billing software are also required.

Successful US Healthcare Emergency/Ambulatory AR/Medical Billing Specialists at BizForce exhibit strong analytical and problem-solving skills, attention to detail, and exceptional organizational abilities. Effective communication and negotiation skills are also vital for resolving payment issues efficiently. Proficiency in billing software and Electronic Health Records (EHR) systems, such as HST Pathways, is important to ensure accuracy and compliance in claims submission.

Yes, BizForce embraces a remote work culture, allowing US Healthcare Emergency/Ambulatory AR/Medical Billing Specialists to work from home. This position is specifically designed for graveyard shifts aligning with US time zones, allowing for flexibility and work-life balance while retaining your focus on delivering high-quality results.

BizForce offers a comprehensive benefits package for their US Healthcare Emergency/Ambulatory AR/Medical Billing Specialists, including leave credits, a monetary allowance, an annual bonus, weekly paychecks, and fixed weekends off. The company also invests in employee development through specialized training programs, fostering a supportive environment for career advancement.

During the interview, highlight your understanding of each step in the accounts receivable cycle, including claim submissions, payment tracking, and follow-ups. Explain how you ensure accuracy, address denials, and maintain proper records, showcasing your comprehensive knowledge of healthcare billing processes.

Discuss specific examples of how you've identified and resolved denials or underpayments. Emphasize your problem-solving skills and ability to collaborate with coding and billing teams to rectify issues and successfully resubmit claims.

Mention specific software you’ve used in previous roles, such as HST Pathways, Vision, or Advantix. Explain how these tools facilitate your work in billing management, enhance accuracy in submissions, and streamline the reconciliation process.

Share your strategies for staying informed about industry changes, such as attending training sessions, following relevant healthcare blogs or forums, and participating in continuing education programs. This shows your commitment to compliance and professional growth.

Outline your systematic approach to tracking AR, including setting up reminders for follow-ups and using aging reports to prioritize accounts. Describe how you communicate with clients or insurance companies to resolve outstanding balances efficiently.

Explain that attention to detail is critical to ensuring accurate claims submissions and maintaining financial records. Provide examples of how your meticulous nature has prevented costly errors and improved the efficiency of your processes.

Share a narrative of a complex payment problem you faced, emphasizing the steps you took to resolve it. Focus on your analytical skills, communication prowess, and decision-making abilities that contributed to a positive outcome.

Discuss the methods you utilize to prioritize tasks, such as creating to-do lists or using project management tools. Explain how these practices help you manage time and ensure timely claims submissions and follow-ups.

Articulate what drives you, such as a desire to help patients receive the best care, a passion for numbers, or the personal fulfillment that comes from achieving targets. This insight can showcase your passion and commitment to the role.

It's important to research industry standards and average salaries for the position. Discuss your findings and be open to negotiation while expressing willingness to consider the overall package and growth opportunities within BizForce.