Note: The job is a remote job and is open to candidates in USA. OB Hospitalist Group (OBHG) is the nation’s largest provider of customized obstetric hospitalist programs, dedicated to transforming maternal health. The RCM Patient Accounts Receivable Specialist is responsible for managing patient accounts, reducing accounts receivable days, and improving cash collections while ensuring compliance and accuracy in billing processes.
Responsibilities
- Research and resolve patient account issues by communicating with billing vendors and third-party payors to verify claim status and demographic information
- Prioritize daily workload using aging reports, account balances, and management-directed priorities
- Investigate and pursue unpaid claims with third-party payors until resolution is achieved
- Apply strong working knowledge of third-party payor rules and guidelines, with an emphasis on State Medicaid plans
- Maintain compliance with all Protected Health Information (PHI) security requirements
- Ensure consistent processing standards with a high level of accuracy and low error rates
- Collect, document, and forward account updates to billing vendors, including insurance submissions, payment postings, and removal from collections
- Respond to Requests for Additional Information (RAIs) and provide direction on next steps
- Resolve claim errors, demographic discrepancies, duplicate claims, and coverage issues within assigned work queues
- Perform additional duties as assigned to support Revenue Cycle operations
Skills
- Experience with insurance collections, including Medicaid, Managed Care, BCBS, and Commercial accounts
- Knowledge of medical billing procedures, health plans, and claims processing
- Strong organizational skills with high attention to detail
- Proficiency in Microsoft Word and Excel
- Experience working with medical billing systems (e.g., EPIC, Allscripts, McKesson, or similar platforms)
- High School Diploma or equivalent
- Understanding of medical terminology, including ICD-9 and CPT codes
- Strong professional phone presence and customer service skills
- Experience supporting multi-state or multi-location billing environments
- Advanced proficiency in Microsoft Excel
Benefits
- Paid time off & holidays so you can spend time with the people you love
- Medical, dental, and vision insurance for you and your loved ones
- Health Savings Account (with employer contribution) or Flexible Spending Account options
- Employer Paid Basic Life and AD&D Insurance
- Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan
- Paid Parental Leave
- 401(k) Savings Plan with match
- Legal Plan & Identity Theft Services
- Mental health support and resources
Company Overview
Ob Hospitalist Group offers obstetric care of expectant mothers by providing in-house, board-certified physicians' services. It was founded in 2006, and is headquartered in Mauldin, South Carolina, USA, with a workforce of 1001-5000 employees. Its website is http://obhg.com.
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