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Alteva RCM

Healthcare Accounts Receivable Senior Associate

Accounts Payable/ReceivableUpdated on Nov 12
Full-timeQueens, NY, USA$65k - $85kIn-person

About the Job

Requirements

  • The role requires healthcare industry experience, a strong understanding of the insurance payer mix, and familiarity with the full claims lifecycle.
  • Candidates must have strong attention to detail and organizational skills.
  • Candidates must have effective communication skills, especially when working with insurance representatives.
  • Candidates must be proficient in Microsoft Office applications.
  • A high school diploma or equivalent is required.
  • Candidates must have a minimum of 2–3 years of experience in healthcare accounts receivable.

Responsibilities

  • Follow up with insurance companies on claim status, underpayments, and denials.
  • Resolve denied and underpaid claims promptly.
  • Review and interpret Explanation of Benefits (EOBs).
  • Address and correct coding-related denials.
  • Use payer portals such as Availity, Cigna, UHC, Navinet, and Emblem to check claim status.
  • Analyze accounts receivable reports to identify trends and areas for improvement.
  • Prepare and present accounts receivable reports to management.
  • Work with internal teams to resolve claim issues.
  • Access electronic medical records to obtain necessary medical records.
  • Post insurance payments and handle recoupments.
  • Reconcile client payments monthly.
  • Generate and send patient statements.

Desired Qualifications

  • Experience with Epic electronic medical records is preferred.

About the Company

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