ThedaCare is hiring a Accounts Receivable Specialist to join our team. You will be responsible for submitting billing to appropriate parties and following up for the adjudication and payment of individual claims, playing a key role in managing accounts receivable. At ThedaCare, we are inspired to reinvent health care by becoming a proactive partner in health, guided by compassion, excellence, leadership, innovation, and agility.
What You'll Do
- Perform comparative analysis for accuracy of bills before submission, including charges, subscriber data, diagnosis/procedure codes, and late charges.
- Process claims in a timely manner according to contracts, regulations, department standards, and form requirements.
- Generate phone calls to all parties to check the status of unprocessed, unpaid, or rejected claims to ensure accurate and timely reimbursement.
- Process a variety of correspondence from all parties, taking appropriate steps to expedite the timely resolution of claims payment.
- Verify insurance/payer and patient demographic information for accuracy when appropriate, and input verification data to complete in-house claims generation.
- Re-bill accounts when new information is received requiring updates with appropriate demographic and third-party information to ensure payment, updating patient records accordingly.
- Review internal and external reports for claims status.
What We're Looking For
- Must be 18 years of age.
Nice to Have
- High School diploma or GED.
Benefits & Compensation
- Lifestyle Engagement benefits such as health coaches, relaxation rooms, health-focused apps, and mental health support.
- Access & Affordability benefits including minimal or zero copays, team member cost-sharing premiums, and daycare.
Work Mode
This is a remote position based out of Appleton, Wisconsin.
ThedaCare is an equal opportunity employer.
