Accounts Receivable Specialist

To become an Accounts Receivable Specialist at Brault, you need a minimum of two years of medical billing experience specifically in accounts receivable management. Familiarity with workers' compensation, auto claims, and third-party liability is essential. Experience with Athena IDX is highly valued. Additionally, you should understand HIPAA and PHI guidelines and have a solid grasp of insurance policies, including Medicare and managed-care plans.

As an Accounts Receivable Specialist at Brault, your primary responsibilities include managing correspondence related to accounts receivable, processing denials, filing appeals, and performing diligent follow-ups. You'll play a crucial role in ensuring that revenue is generated effectively by closely monitoring accounts, understanding patient benefits, and identifying any discrepancies in payments as outlined in EOBs.

While experience with Athena IDX is not strictly required for the Accounts Receivable Specialist position at Brault, it is highly valued. Candidates with Athena IDX experience will have an edge since it streamlines many billing processes. If you have solid accounts receivable experience and are willing to learn, we encourage you to apply!

The Accounts Receivable Specialist position at Brault allows you to work remotely, providing flexibility and comfort. You'll be part of a supportive team dedicated to managing billing and coding effectively. Our company culture emphasizes collaboration, making it easy to communicate with colleagues and support one another in tackling challenges.

Brault prefers candidates to have at least two years of experience in accounts receivable and medical billing. Additionally, experience with EOBs, WC claims, personal injury claims, and a familiarity with ICD-10 CPT codes will set you apart. Overall, we're looking for someone who is detail-oriented and has a comprehensive understanding of various insurance guidelines.

In your response, highlight specific instances where you successfully managed revenue collection processes. Discuss the types of billing software you’ve used and how you've dealt with common challenges in healthcare accounts receivable, such as denials and appeals.

Your answer should reflect your understanding of HIPAA regulations and discuss steps you take to ensure patient information is kept confidential. Mention any specific training you’ve had and how you apply compliance protocols in your daily work.

Outline your systematic approach to handling denials, including how you analyze the reasons for denial, gather necessary documentation, and file appeals. Discussion of your previous success with denied claims will strengthen your answer.

Discuss your experience with ICD-10 and CPT codes, explaining how accurate coding impacts claims processing. Include examples of how you’ve worked with coding in past roles and your understanding of its significance in accounts receivable.

In your response, list specific billing software or systems such as Athena IDX that you are proficient in. Explain how these tools have helped you enhance productivity or reduce errors in accounts receivable processing.

Provide a concise explanation of how you break down an EOB to identify what payments were made and what remains unpaid. Discuss any challenges you've faced in this area and how you overcame them.

This is an opportunity to highlight your communication skills. Share a specific situation where you successfully clarified a billing issue, emphasizing your ability to diplomatically resolve conflicts while maintaining a positive client relationship.

Detail your approach, whether it includes setting reminders, using automated systems, or regular check-ins. Mention any metrics you track to measure your success in collecting payments.

Discuss any resources you use, such as professional organizations, webinars, or journals. Mention how you apply new regulations to enhance your work as an Accounts Receivable Specialist.

Identify common challenges such as claim denials or managing high volumes of accounts while discussing techniques you've developed to tackle these obstacles effectively. This shows your problem-solving skills and adaptability.