HighFive Healthcare

Accounts Receivable

• Manage HighFive’s Oral Surgery insurance accounts receivable process
• Submit claims accurately and on time
• Follow up on unpaid and denied claims
• Work with insurance companies, healthcare payors, and patients to resolve billing discrepancies and issues
• Investigate, appeal, and resolve denied or rejected claims
• Clarify discrepancies with insurance companies and ensure proper reimbursement
• Review and assess Explanation of Benefits (EOBs) at the claim level
• Determine root causes of billing or claim submission issues and prevent recurrence
• Correct and rebill claims based on denials using standardized processes and procedures
• Follow up on unresolved claims through system resources, clearinghouses, payer portals, or calls to payors
• Assess whether appeals are required and track appeals for timely payment and resolution
• Identify recurring denial patterns and report them to management
• Communicate with team members, payors, patients, and other relevant parties
• Keep current with internal processes, industry standards, and government regulations related to denial management
• Participate in special projects or perform additional duties as required
• Meet or exceed required accounts per day
• Achieve department goals for net collection rates and denied-claim resolution

Explore Accounts Receivable Specialist at HighFive Healthcare. Review requirements and application details.