Summary Description :
Accounts Receivable Specialist is responsible for providing timely and efficient follow-up with all payer types for all unpaid claims and presenting data to appropriate parties.
Daily Responsibilities :
Researches and resolves unpaid, denied, or pending claims and invoices.
Responsible for the appeal process including filing appeals and monitoring appeals through completion.
Responsible for accurate information and data input on all patients, insurance, notes, and claims.
Generates invoices for client billing.
Negotiates with the responsible party on unpaid accounts.
Assists in identifying potential billing issues.
Participates in staff meetings and offers appropriate and constructive suggestions and criticism.
Utilizes any extra time during decreased workload to assist other employees that may have extra workloads.
Organizes work in a manner to keep up with all the details of the job requirements.
Demonstrates competency in skills and knowledge pertinent to the practice of accounts receivable.
Demonstrates working knowledge of insurance carrier rules and regulations as pertaining to reimbursement.
Consistently performs routine tasks in an independent manner, while exercising good judgment during those instances when help may be needed, or a supervisor needs to be informed.
Other duties as assigned.
Required Skills
Seeks continual professional development by updating current knowledge base regarding private insurance reimbursements.
Utilizes proper chain of command when addressing concerns or problems.
Proficient computer skills with Microsoft Excel.
Excellent Communication (Verbal & Written) Skills.
Data entry skills.
Strong work ethics and confidentiality.
Time management skills and attention to detail.
Required Experience
High school diploma or equivalent
2 + years of relevant healthcare AR and denials experience required.
Experience working with claims billing preferable.
Seeks continual professional development by updating current knowledge base regarding private insurance reimbursements.
Utilizes proper chain of command when addressing concerns or problems.
Proficient computer skills with Microsoft Excel.
Excellent Communication (Verbal & Written) Skills.
Data entry skills.
Strong work ethics and confidentiality.
Time management skills and attention to detail.
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