Account Reimbursement Specialist I

Job Description

Job Description

Revenue Cycle Account Reimbursement Specialist I

Job Summary :

The Account Reimbursement Specialist I (ARS I) is responsible for accurately processing information to ensure accurate and compliant billing for office and hospital procedures. The Revenue Cycle – ARS I researches insurance guidelines and focuses on improving the effectiveness of billing processes. The position requires attention to detail, strong organizational skills, and dependability. This role is vital to the overall financial success for the organization.

(This is a full time position that will support our RCM team at SouthPark Monday to Friday, 8 am to 5 pm)

Primary Job Responsibilities :

• Performs daily billing activities to ensure successful processing and payment of claims.
• Ensures claim information is complete and accurate for charge entry and data enters key demographic information necessary for insurance claim processing.
• Verifies all patient benefits, eligibility, and coverage to ensure accurate billing.
• Audits completeness and accuracy of all claims prior to submission to claims clearinghouse.
• Make necessary claim corrections to resolve payer claim edits and rejections.
• Reports billing changes, billing issues, and process improvement plan accomplishments to RCM Leadership.
• Completes tasks in RCM to resolve patient cases (via phone or written communication), process virtual payments, process insurance refund requests, research missing payments, process bankruptcy and deceased patient notifications, and collection account reconciliation.
• Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
• Performs other duties as required or assigned within the scope of responsibility.

Requirements :

Education and Certifications :

Physical Requirements :

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