A/R Specialist

Piedmont Urgent Care by WellstreetNewnan, GA

About The Position

This position supports the full Revenue Cycle by managing insurance claims, billing processes, claim follow-up, denial resolution, insurance verification, and patient billing inquiries. The ideal candidate should have experience working within a medical billing environment and understand the AR lifecycle from claim submission through reimbursement.

Requirements

  • Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims
  • Knowledge of medical terminology and billing practices.
  • Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software
  • Energy, enthusiasm, and the ability to work under pressure in a high volume, fast paced environment
  • Ability to work within a team environment and maintain a positive attitude
  • Excellent documentation, verbal, and written communication skills
  • Extremely organized with a strong attention to detail
  • Motivated, dependable, and flexible with the ability to handle periods of stress and pressure
  • All other duties as assigned

Nice To Haves

  • 1+ years of experience in medical billing preferred
  • Urgent Care Billing experience is a plus
  • hands-on healthcare AR experience
  • understand claim denial management
  • comfortable working payer accounts
  • strong insurance knowledge
  • demonstrate success in collecting reimbursement and resolving billing issues in a fast-paced environment
  • Urgent Care or physician practice billing experience would be a significant advantage.

Responsibilities

  • Billing for our Urgent Care Centers using our internal software
  • Setting up insurance plans within our software.
  • Performing insurance verification
  • Following up on claims, including rerouting and resubmitting claims
  • Working with the Revenue Cycle Management to identify & resolve issues related to billing, coding and the billing system and process flow
  • Interfacing with clinic staff on billing & coding issues.
  • Interfacing with patients on billing questions
  • Interfacing with appropriate members of revenue cycle regarding coding or cash posting errors
  • Daily completion of clearinghouse rejections
  • Knowledge of third-party payors reimbursement
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