The Contract AR Specialist position will primarily be responsible for accounts receivable and identifying, investigating, and resolving unpaid claims, which will include researching individual payer policies and submitting claims appeals.
The position will have other assigned duties that may include making and receiving patient calls, communicating with physicians and office staff, posting payments and data entry.
Works towards providing outstanding customer service and maximum reimbursement to our clients that are within a variety of specialties.
This position requires computer data entry, use of Microsoft Office Products, Epic and WebPt.
Essential Functions
- Review unpaid accounts / claims to determine status and appropriate action
- Contact payers via website, phone and / or correspondence regarding unpaid claims
- Collaborate with team to identify payer trends and non-payment issues
- Prepare and submit claims for reimbursement
- Maintain accounts receivable and administer billing, reconciliation, deposits, and entries to support the accuracy and integrity of the system
- Manage patient and client calls with exceptional customer service
- Create, analyze, and close monthly reports timely
- Monitor and advise on how to optimize operational procedures to improve the efficiency of the collection processes
- Performs accurate, timely data entry of all office charges as needed
- Answer questions or concerns from the offices regarding patient coverage and / or billing
- A positive attitude; comfortable with change; Must be able to work with a diverse team
- Must function well in atmosphere of stress and interruption
- Must be able to multi-task and problem-solve in a high volume, interactive environment while maintaining a professional and friendly demeanor
- Must be well organized and detail oriented with a desire and ability to maintain excellent records
- Assists management with maintaining and documenting statistics for databases and outcomes. Generates reports as requested by management
- Performs additional duties deemed necessary to the position and its function
Required Skills & Abilities
- Ability to type 60 words per minute preferred.
- Strong interpersonal, oral (includes telephone skills) and written communication skills.
- Good organizational skills and an ability to prioritize to meet deadlines.
- Complete understanding of medical reimbursement and terminology.
- Ability to work with disabled individuals.
- Working knowledge of all standard office equipment.
- Working Knowledge of insurance and outpatient billing procedures.
Required Credentials
- High School Diploma with courses in bookkeeping and accounting OR an equivalent amount of work experience in a healthcare or related setting.
- One to two years of medical billing and administrative experience
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