Accounts Receivable Specialist (3158)
US Heart & Vascular•Lafayette, LA
•Remote
About The Position
US Heart and Vascular is needing a Remote Account Receivable Specialist to join our team at Cardiology Specialist of Acadiana in Lafayette LA. Position Summary: Achieves maximum revenue collections from insurances and patients through timely entry, filing and follow-up; maintains thorough and accurate transaction and correspondence on patient accounts; provides insurance claims education to patients; posts payments & adjustments; reconcile batches and accounts.
Requirements
- High school diploma or equivalent.
- A minimum of one year’s experience in a medical office or other healthcare setting.
- Must have basic understanding of medical terms and abbreviations; possess thorough working knowledge of insurance and medical billing; usage of computer systems; the mechanics of health insurance and PPO networks; various medical billing forms, reports and processing methods; patient confidentiality/HIPAA regulations
- Have excellent attention to detail
Responsibilities
- Demonstrates thorough understanding of all medical insurance terminology, ICD-10 coding, CPT-4 coding, remittance advice and explanation of benefit forms.
- Understands health insurance guidelines, esp. Medicare, Medicaid, HMOs, PPOs
- Understands how to post remittance advice or explanation of benefits, electronically or manually.
- Files primary and secondary claims timely.
- Batches and posts insurance & patient payments and adjustments correctly in accordance with policy and procedure and assigned timeframe.
- Ensures accounts assigned are managed timely for outstanding insurance, denials, filed rejected, appeals for payment within 30 days
- Follows-up on unresolved claims no less than every 30 days.
- Thoroughly documents tasks performed on each patient account in EMR.
- Seeks patient collections on overdue accounts.
- Processes and enters charges with correct diagnoses and modifiers within 48 hrs of charge availability in billing module; prepares clean and timely claim for insurance
- Greets patients in a friendly and professional manner, whether in person or via telephone, determines their needs and responds accordingly; educates patients on insurance as needed.
- Obtains and/or reviews current & accurate demographic and insurance data relative to dates of service, including insurance cards into patient registration system.
- Verifies medical insurance coverage and document benefits information as needed.
- Utilizes EMR and PM system accurately.
- Perform any other services deemed reasonable by supervisor.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
