Job Category: Clerical/Administrative
Requisition Number: RCMPA001872
Location: Remote (Upstate, SC Preferred)
Hourly Compensation Range: $20.00 $24.00 per hour
Compensation is commensurate with experience, skills, and internal equity.
The RCM Patient Accounts Receivable Specialist plays a key role within the Revenue Cycle Management team and is responsible for supporting the reduction of accounts receivable (AR) days, increasing net collections, reducing aged AR balances (120+ days), and improving overall cash collections. This position partners closely with billing vendors and third-party payors to research, resolve, and follow up on patient accounts while ensuring accuracy, compliance, and data security.
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.
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.
Primarily sedentary role requiring extended periods of sitting.
Occasional travel to offsite or in-office meetings may be required.
Join the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nations largest and only dedicated provider of customized obstetric hospitalist programs. Celebrating over 19 years of pioneering excellence, OBHG has transformed the landscape of maternal health. Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24/7 real-time triage and hospital-based obstetric coverage across the United States. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!
Equal Opportunity Employer
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