Accounts Receivable Specialist - Remote

Posted 2 Days Ago
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Hiring Remotely in Greenville, SC, USA
In-Office or Remote
Mid level
Healthtech • Pharmaceutical
The Role
Manage unpaid medical claims by researching denials, following up with payers, correcting and resubmitting claims, processing approved adjustments, and documenting account activity. Identify coding and billing issues, maintain productivity targets, report daily KPIs, follow HIPAA and ethical billing requirements, and assist with team training and projects.
Summary Generated by Built In
Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

Day in the Life of an Accounts Receivable Specialist
  • Responsible for working unpaid claims in EMR systems timely and accurately.

  • Continual follow up with payors on open balances to ensure that payment is prompt and accurate.

  • Correction and resubmission of claims in EMR system and/or clearinghouse.

  • Timely, valid, and well documented adjustment submission (must be approved by management prior to processing).

  • Research unpaid claims using various methods including payor phone calls, web portals, and written guidelines.

  • Maintain clear, concise, and up-to-date documentation regarding status of accounts.

  • Proper communication and documentation of issues found while completing claim follow up.

  • Identify billing issues (codes/modifiers/etc.) and communicate to the appropriate staff to ensure future clean claims.

  • Maintain daily productivity level as discussed with department management.

  • Understands and adheres to state and federal regulations and system policies regarding compliance, HIPAA, integrity, and ethical billing practices.

  • Responsible for daily reporting of key performance indicators through various reporting tools.

  • Assist with providing training and guidance to other team members.

  • Assist with a variety of projects and perform other duties as assigned.

  • Productivity will be monitored based on follow up of 50 claims per day minimum.

  • Analysts will be responsible for self-reporting at the end of each business day

  • Productivity will be verified using User Performance reporting in Waystar (OTP) and by reviewing Analysts’ spreadsheets filtered by date worked.

Education and Experience requirements
  • Must have had at least 3 years accounts receivable experience in a physician office setting.

  • General Knowledge of HCPCS, CPT-4 and ICD-10 coding and/or medical terminology.

  • Familiar with multiple payer requirements (including Medicaid, Medicare, and/or commercial insurance follow up) and regulations for claims processing.

  • Research and analysis of unpaid and denied claims including payor communication, resubmissions, and appeals.

  • Must have a High School Diploma/GED.

Schedule

Required schedule is Monday through Friday from 9:00 AM to 5:00 PM.

Please note EST preferred.

Position Benefits
  • Have a daily impact on many lives.

  • Excellent training if you are new to this field.

  • Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate.

  • Community events that promotes belonging and education. Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events.

  • Opportunity to save lives everyday!

Benefits Package
  • Medical, Dental, and Vision Insurance

  • PTO

  • Variety of 401K options including a match program with no vesture period

  • Annual Continuing Education Allowance (in related field)

  • Life Insurance

  • Short/Long Term Disability

  • Paid maternity/paternity leave

  • Mental Health day

  • Calm subscription for all employees

Skills Required

  • At least 3 years of accounts receivable experience in a physician office setting
  • High School Diploma or GED
  • General knowledge of HCPCS, CPT-4, ICD-10 coding, and/or medical terminology
  • Familiarity with Medicaid, Medicare, and/or commercial insurance payer requirements and claims-processing regulations
  • Experience researching unpaid and denied claims, communicating with payers, resubmitting claims, and handling appeals

Crossroads Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Crossroads and has not been reviewed or approved by Crossroads.

  • Parental & Family Support Paid maternity and paternity leave are part of the package for full‑time teammates. This provides family‑focused support during key life events.
  • Retirement Support A Safe Harbor 401(k) with a company match is offered. This facilitates structured, employer‑supported retirement savings.
  • Wellbeing & Lifestyle Benefits Designated mental health days, Calm app access, and flexible schedules are highlighted. These offerings can bolster day‑to‑day wellbeing beyond base pay.

Crossroads Insights

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The Company
HQ: Tacoma, WA
1,248 Employees
Year Founded: 2005

What We Do

We exist to improve health equity in order to create superior outcomes. Crossroads is a behavioral healthcare company founded in 2005, with more than 110 locations across nine states. We provide medication-assisted treatment (MAT) and measurement-based care to help our patients on their path to recovery. We also offer services for hepatitis C, toxicology screening, digital health screens, and smoking cessation in many of our locations. We provide the highest level of convenience with TeleVisits, our 24/7 hour call center, and appointments within 48 hours or less

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