Accounts Receivable Specialist (74352)
Orthopedic Associates of Lancaster•North Cornwall Township, PA
•Onsite
About The Position
The Accounts Receivable (AR) Specialist position bills insurance companies for all surgery center and surgery center-based physician bills. In addition, the AR Specialist pursues collection of all claims until payment is made by insurance companies and performs other work associated with the billing process.
Requirements
- High school diploma or GED required.
Nice To Haves
- Prior experience in a medical office setting is preferred.
- Coding certification for AAPC or AHIMA is preferred.
- Certification/diploma from a vocational school or business school is preferred.
- Proficiency with Microsoft Office Suite is preferred.
Responsibilities
- Provide excellent customer service and billing expertise to our patients and staff.
- Working with insurance carriers to identify and correct billing issues and ensure timely reimbursement.
- Daily posting and reconciliation of insurance and patient payments.
- Patient account maintenance.
- Patient account collections.
- Support of front-end revenue cycle processes.
- Maintains confidentiality of all information.
- Completes work within authorized time to assure compliance with departmental standards.
- Demonstrates knowledge of, and supports, all standards, policies and procedures, and operating instructions.
- Maintains third-party billing logs.
- Works denials provided by Cash Poster utilizing clearing house appeal software.
- Completes Bad Debt Reporting Request and submits to Leadership.
- Completes Refund Requests and submits to Leadership for approval.
- Contacts patients regarding self-pay balances, explaining payment options and the use of Care Credit.
- Sends partial payment letters as appropriate.
- Provides coding for all self-pay packages requested by OAL.
- Monitors assigned workflow daily in the clearing house.
- Monthly generation of patient responsibility statements.
- Completes Workers Compensation Fee Reviews within day 46 to day 60 of claim days on AR.
- Completes AR follow-up on assigned third party payers to ensure payment of claims within 90 days of procedure.
- Prepares report on assigned AR for review with leadership each month.
- Performs other duties as required.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
