Accounts Receivable Specialist

United Digestive•Atlanta, GA

13d•Onsite

About The Position

The Accounts Receivable Specialist is responsible for ICD and CPT coding, data entry, and claims processing for office E&M charges, office procedures, imaging, infusions, labs, and other services provided by Atlanta Gastroenterology Associates physicians and mid-level providers. The role supports accurate, timely claim submission and payment by reviewing patient records, resolving claims questions and denials, and applying payer and CMS guidelines. It reports to the Revenue Cycle Manager.

Requirements

High school diploma or GED.
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 of and ability to respond to claims questions and denials.
Ability to provide high-quality patient care and customer service.
Ability to plan, prioritize, and complete multiple tasks delegated by Revenue Cycle Management leadership.
Ability to complete productivity-based assignments within assigned time frames.
Ability to work under pressure, assess and respond to issues, and communicate in a timely manner.
Ability to maintain composure and set a professional example for patients and coworkers.
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.

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.
Accurately code and submit claims for services provided by Atlanta Gastroenterology Associates providers, including assigning appropriate ICD and CPT codes.
Review and analyze patient records to determine accurate 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.
Maintain personal education by attending seminars and classes as needed.
Stay current with changes to CPT and ICD-10 diagnosis codes.
Follow CMS and other payer guidelines for coding and billing.
Meet or exceed quality and productivity standards set by the Charge Entry Supervisor.
Respond to emails and voicemails and return calls in a timely and efficient manner.
Complete staff requests for information promptly and effectively to support payment on patient accounts.
Abide by and promote HIPAA compliance and maintain 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.
Perform other duties and special projects as assigned.