A/R Specialist

Carolina Neurosurgy & Spine Associates•Charlotte, NC

4d•Onsite

About The Position

Carolina Neurosurgery and Spine Associates is seeking a Full-Time A/R Specialist for our Charlotte office. Job Objective: To maximize practice revenue by working effectively and efficiently with others to meet monthly RCM goals. Promotes positivity and collaboration within all CNSA departments. Essential Job Responsibilities: Processes insurance claims by following up with assigned insurance companies, resubmitting claims or inquiries, and working rejections from the clearinghouse Works and updates assigned tasks until the account has reached a zero balance or turned over to patient responsibility Checks for denials from claim scrubbing process Assists with coding and error resolution from the clearinghouse and insurance companies Processes refunds in a timely manner Reduces claim denial turn-around time by following up with assigned insurance company Assists the front desk regarding carrier questions Submits secondary insurance as needed, if submitted by paper claims Maintains strictest confidentiality and follows all CNSA guidelines regarding HIPAA regulations Follows CNSA compliance program, reports any concerns to manager Participates in educational activities and training, reads carrier policies, and stays up to date on all changes that are published through bulletins or on the web sites Completes additional tasks as assigned by management This posting is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities of this position.?CNSA retains the discretion to add to or change the job responsibilities of any position at any time with or without notice. Company Culture Responsibilities: Reflects CNSA Core Values in all job responsibilities and interactions Compassion: Treats others with compassion and empathy Teamwork: Collaborates with all team members Communication: Communicates effectively and with positivity Integrity: Acts with integrity and accountability Innovation: Remains open-minded to new ideas and continual improvement Community: Treats every patient and team member as a part of the CNSA community Participates in department or system wide improvement plans Reports to work and adheres to assigned schedule from manager Performs high quality work that is neat, accurate, complete, and on time Offers help to all patients by promptly responding to requests and needs Asks questions to gain full understanding of assignments Uses computer for approved work purposes only, and limits personal phone calls Monday – Friday 8:00am – 5:00pm.

Requirements

At least a High School Diploma or GED
Minimum of one year billing or front desk experience in a health care organization
Medical and insurance terminology
Payer guidelines
Legal and ethical considerations related to patient information
HIPAA guidelines and policies
Customer service principles and techniques
Awareness and understanding of interdepartmental responsibilities for informed decision making
Time management, problem solving, multitasking, and prioritizing
Effective communication
Basic understanding of Microsoft Office Suite
Detail orientation
Establishes and maintains effective working relationships with coworkers and diverse patient populations
Analyzes situations and responds appropriately
Organizes and prioritizes information and assignments
Works independently with little or no supervision
Sitting and standing associated with a typical office environment.
Speaking and hearing, both in-person and on the phone.

Responsibilities

Processes insurance claims by following up with assigned insurance companies, resubmitting claims or inquiries, and working rejections from the clearinghouse
Works and updates assigned tasks until the account has reached a zero balance or turned over to patient responsibility
Checks for denials from claim scrubbing process
Assists with coding and error resolution from the clearinghouse and insurance companies
Processes refunds in a timely manner
Reduces claim denial turn-around time by following up with assigned insurance company
Assists the front desk regarding carrier questions
Submits secondary insurance as needed, if submitted by paper claims
Maintains strictest confidentiality and follows all CNSA guidelines regarding HIPAA regulations
Follows CNSA compliance program, reports any concerns to manager
Participates in educational activities and training, reads carrier policies, and stays up to date on all changes that are published through bulletins or on the web sites
Completes additional tasks as assigned by management
Reflects CNSA Core Values in all job responsibilities and interactions
Participates in department or system wide improvement plans
Reports to work and adheres to assigned schedule from manager
Performs high quality work that is neat, accurate, complete, and on time
Offers help to all patients by promptly responding to requests and needs
Asks questions to gain full understanding of assignments
Uses computer for approved work purposes only, and limits personal phone calls