Accounts Receivable (AR) Specialist – Behavioral Health

At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with a rich domain expertise and robust compliance norms.

Our four-prong approach of an excellent management team coupled with detailed eye for processes, experienced manpower, and cutting-edge technology helps us deliver superior, cost-effective services to our clients across the globe.

• Health insurance.
• Dental insurance.
• Vision insurance.
• Employer paid life insurance.
• Employer paid short-term and long-term disability.
• Voluntary additional life insurance.
• Employee Assistance Program.
• 48 hours of sick time after three months.
• 80 hours of vacation time after six months.
• $400 referral bonuses.

Medusind is seeking a proactive and detail-oriented Accounts Receivable Specialist to oversee the accurate and timely processing of healthcare insurance claims. This role is responsible for investigating unpaid and underpaid claims, identifying and addressing root causes of payment delays, and taking proactive measures to secure reimbursements. The ideal candidate is highly skilled at navigating and resolving payer issues, familiar with behavioral health claims and motivated to maximize revenue cycle performance.

• Coordinate internal and external resources to ensure adherence to scope, providing necessary guidance and follow up when necessary.
• Analyze status and, when necessary, revise the scope, or schedule to ensure that requirements can be met.
• Establish and maintain processes for managing scope setting quality and performance standards and assessing risks.
• Detect, report, and provide solutions to identified issues.
• Report outcomes and/or risks to the appropriate management channels and escalate issues, as necessary, according to designated work plan.
• Track staff performance using appropriate KPIs, metrics, tools, and other techniques.
• Submit deliverables and ensure they adhere to quality standards.

• Familiarity with healthcare industry standards, insurance regulations, and behavioral health landscape.
• Strong understanding of the healthcare revenue cycle and insurance payment processes.
• A customer-centric mindset, ensuring positive experiences for clients during issue resolution.
• A passion for continuous improvement in AR processes and insurance payment collections.

• 3+ years of experience in accounts receivable, auditing, healthcare billing, or insurance-related roles.
• Strong knowledge of healthcare insurance billing, claims processing, and EOB interpretation.
• Proficiency in accounting software and healthcare billing systems.
• Excellent analytical skills with a keen attention to detail.
• Strong problem-solving abilities, particularly in resolving insurance-related account issues.
• Excellent communication and interpersonal skills to collaborate with internal and external resources.
• Ability to work independently and manage multiple priorities.

Originally posted on Himalayas