Accounts Receivable Specialist (70799)

United Digestive•Atlanta, GA

11d

About The Position

The Accounts Receivable Specialist is responsible for ICD and CPT coding, data entry, and claims processing for office E&M charges, procedures, imaging, infusions, labs, and other services provided by Atlanta Gastroenterology Associates physicians and mid-level providers. The role supports accurate and timely claim submission, denial resolution, and payment on patient accounts while maintaining coding quality, customer service, and HIPAA compliance. The specialist works with billing companies, hospitals, insurance payers, office managers, and practice staff. The position also supports coding audits and education, keeps current with coding and payer requirements, meets quality and productivity standards, and performs other practice functions as directed. Sitting and standing in a normal office environment are required, and travel may be needed as business needs dictate.

Requirements

High school diploma or GED.
Certified Professional Coder (CPC) certification.
Three to four years of coding and/or medical office and billing experience.
Skills and knowledge in EMR software functionality and operations.
Proficiency in multiple Microsoft Office applications.
Knowledge and ability to respond to claims questions and denials.
Ability to plan, prioritize, and complete multiple tasks within assigned time frames.
Ability to work under pressure and communicate issues promptly.
Ability to communicate clearly with patients and coworkers by telephone, email, and in person.
Ability to interpret and apply clinical and non-clinical policies and procedures.
Ability to meet the physical demands of sitting and standing in a normal office environment.
Willingness to travel as business needs dictate.
Must pass a pre-employment drug screening.

Nice To Haves

Advanced knowledge of E&M and procedural coding.
Specialty clinical experience in gastroenterology.

Responsibilities

Scrub claims to support clean claim submission.
Work appeals and denials in a timely manner and develop solutions to prevent future denials.
Communicate and coordinate with the billing company, hospitals, and insurance payers as required.
Code and submit claims accurately for services provided by Atlanta Gastroenterology Associates providers, including assigning correct ICD and CPT codes.
Review and analyze patient records to determine appropriate coding levels and other billable services.
Research coding and claims questions thoroughly to maintain high quality standards.
Assign appropriate modifiers to claims when needed.
Support office managers and staff in determining accurate coding and billing practices.
Participate in coding audits and educational activities as directed by the Charge Entry Supervisor.
Continue professional education by attending seminars and classes as needed.
Stay current with changes and updates to CPT and ICD-10 diagnosis codes.
Follow CMS and other payer coding and billing guidelines.
Meet or exceed quality and productivity standards set by the Charge Entry Supervisor.
Answer emails and voicemails and return calls in a timely and efficient manner.
Complete information requests from Atlanta Gastroenterology Associates staff promptly and effectively to support payment on patient accounts.
Maintain HIPAA compliance and strict confidentiality of patient information.
Participate in staff meetings as directed by the Charge Entry Supervisor.
Cross-train and perform other practice functions as directed by the Charge Entry Supervisor.
Complete other duties and special projects as assigned.
Provide high-quality patient care and customer service.
Plan, prioritize, and complete multiple delegated tasks within assigned time frames.
Assess, respond to, and communicate issues in a timely manner while working under pressure.
Maintain composure and model professional conduct for patients and coworkers.
Communicate clearly with patients and coworkers by telephone, email, and in person.
Interpret and apply clinical and non-clinical policies and procedures.