Job Description
Description:
The Accounts Receivable Specialist will have strong attention to detail and analytical skills.
Ensure that patients and insurance companies are properly billed for all services, and that payments are received and processed in a timely manner.
Analyze excel spreadsheets and raw data.
Denial management process.
Telephone insurance carrier/patient to seek resolution on accounts.
Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts.
Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an accounts ability to pay after initial rejection from the payer.
Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims.
Identify trends in payer non-compliance and inform management if not able to resolve with payer.
Negotiate within specified guidelines with payers.
Ensure secondary carrier is appropriately billed or self-pay portion is pursued.
Follow up with appropriate staff to locate missing information.
Ensure accurate and timely billing of all outstanding account balances to the appropriate third-party payers and patient guarantors.
Maintain necessary logs.
Participate in departmental meetings as necessary.
Requirements:
1-3 years of accounts receivable experience working in a medical practice/healthcare field.
1 year experience leading a team.
1 year experience with denial management
Excellent attention to detail, customer service skills, and confidentiality
Proficiency in Microsoft Applications
Excellent written and verbal skills
Ability to develop/implement team ideas and projects both independently and with others
Ability to work in a fast-paced environment.
Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making.
Benefits:
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