Job Description
Job Description
Salary :
The Accounts Receivable ( AR ) Specialist is responsible for payer follow-up on claims. An AR Specialist must comply with applicable billing standards and be able to operate in a team-oriented environment that strives to provide superior service.
Essential Functions and Tasks :
- Follow up on all claims to ensure appropriate reimbursement for our clients.
- Process assigned AR work.
Post electronic and manual insurance payments.
- Develop plan to complete work lists by assigned due date.
- Call plans on work lists for claim status.
- Reviews accounts to determine appropriate follow-up action.
- File appeals on claim denials and underpayments as appropriate.
- Reports address and / or filing rule changes to the manager.
- Check system for missing payments.
- Properly notates patient accounts.
- Review each piece of correspondence to determine specific problems.
- Research patient accounts and give estimates on upcoming procedures.
- Take appropriate actions (adjustments, letters, phone insurance, etc.).
- Scan correspondence and index to the proper account.
- Respond to insurance company claim inquiries.
- Meets daily production goals.
- Other duties as assigned.
Qualifications
- High School Diploma or GED.
- One year in data entry field.
- One year in medical billing, anesthesia preferred.
- Intermediate level knowledge of medical billing rules, such as coordination of benefits, modifiers, Medicare and Medicaid and understanding of EOBs.
- Must be able to prioritize and accomplish objectives in a timely fashion.
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