Accounts Receivable Claims Specialist - Healthcare
Summary
Statement At Ottobock.care, we are the result of a collaboration between specialized orthotic and prosthetic clinics, each with its own unique legacy and expertise. Our global reach unites clinicians and clinics from across the world, bound by a shared commitment to delivering exceptional orthotic and prosthetic solutions. When you join Ottobock.care, you're not just starting a job. You’ll help create the structure that supports scalable, patient-centered growth. We are looking for an Accounts Receivable Specialist to handle a high volume of claims and ensure services are paid by the insurance payor. This includes working correspondence, appeals, and denials. Duties & Responsibilities Process daily tasks assigned from the billing software system. Enter and process data related to patient care and reimbursement. Check to ensure all patient documents are on file and completed correctly. Connect with insurance payors by telephone or online regarding non-payment or short payment on outstanding claims. Respond to insurance payor correspondence. Contact patients on outstanding balances, assist with payment plans and financial hardships. Review and resolve denied claims and resubmit corrected claims to payors for reprocessing. Work AR aging reports for payors and patients. Review claims forms to primary, secondary, and tertiary insurance payors as needed. Submit write-offs, adjustments, and refunds. Ensure month-end billing deadlines are met. Work accounts promptly to ensure claims are processed appropriately. Provide exceptional customer service to all internal and external customers. Review HCPC, modifiers, and ICD-10 codes for accuracy while keeping up with compliance and coverage criteria to update employees as needed. Meets work standards by following productivity, quality, and customer service standards established by the company. Complies with Corporate Compliance and HIPAA responsibilities. Perform other duties and special projects as assigned.
Qualifications
Experience with HCPC, ICD-10 medical terminology, accounts receivable, insurance collections and payor requirements, or billing. Ability to work quickly and accurately and pay attention to detail. Proficient with Microsoft Office Software- Excel, Word and Outlook and databases. Strong data entry skills. Ability to work in a fast-paced, frequently changing environment. Communicate clearly, both verbally and in writing, with clinical and non-clinical personnel, patients, and care givers in a professional and respectful manner. Demonstrate organizational, analytical, and time management skills. Dependable, reliable, and punctual. High school diploma or equivalent qualification required. Minimum 1 year of experience in medical billing and collections. Minimum 1 year of experience in accounts receivable, claims, and insurance payor requirements. Familiarity of Medicare and Medicaid preferred. Knowledge of Orthotics, Prosthetics, and DME billing preferred.
Benefits
Medical Vision Dental Health savings accounts with employer contribution Flexible spending account options Company-paid life insurance policy Paid time off Company holidays Floating holidays 100% company-paid short & long-term disability 401k match up to 3.5% Apply To This Job