On Site - CT; Accounts Receivable Specialist

About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical , Village Medical at Home , Summit Health , CityMD , and Starling Physicians .

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

The Accounts Receivable (AR) Follow up position is responsible for management and resolution of all unpaid or denied insurance claims. This role works with insurance payers, patients, and internal teams to collect money owed and maintain a healthy cash flow. Core duties include working claim edits, claim rejections, denied claims, and unpaid or underpaid claims with the various payers including but not limited to the following: Medicare, Medicaid, Medicare Advantage, Medicare supplemental, commercial, and Liability insurances.

Essential functions/Responsibilities

• •Claim Tracking: Check the status of unpaid or pending claims using payer websites, portals, or phone calls.
• •Denial Management: Research and resolve claim denials or rejections by reviewing codes, contracts, and medical records.
• •Appeals and Resubmissions: Write and submit appeal letters or correct claims to overturn denied claims and secure payment.
• •Account Documentation: Write clear and concise notes in the billing software for every action taken on an account.
• •Communication: Talk to insurance companies, patients, and internal departments to fix demographic or billing errors. Alert management to trends and issues needing escalation.
• •Adjustment Requests: Identify and request adjustments to insurance and patient balances.
• •Productivity/Quality: Ability to maintain productivity and quality as set based on department policies.
• •Confidentiality: Ability to follow HIPPA guidelines and policies an maintain PHI integrity.
• •Teamwork: Ability to work as a team player in department as well as with other departments as tasked/assigned.

• Qualifications:
• •High School diploma, GED or Equivalent Required
• •3-5 years AR follow-up or full circle revenue cycle experience
• •Excellent oral and written communication skills
• •Excellent organizational and multitasking skills
• •Team Player
• •Self-motivated independent worker.
• •Previous experience in large Multi-Specialty Practice preferred
• •Epic knowledge preferred
• •CPC certification preferred

About Our Commitment

Total Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities ( EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Safety Disclaimer

Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/ .