Accounts Receivable Specialist (Hybrid)

Ascend Clinical•Colorado Springs, CO

7d•Hybrid

About The Position

The Accounts Receivable Specialist is responsible for researching, analyzing, billing, and collection of all patient accounts assigned. Performs routine eligibility and benefit checks. Researches, appeals, and resolves claim rejections, underpayments, and denials with appropriate payer. Medical billing, denial management and collections experience is required. This is a hybrid role that is 2-3 days a week in our Colorado Springs office.

Requirements

Medical billing, denial management and collections experience required
High degree of problem solving abilities required

Responsibilities

Responsible for all areas of the revenue management life cycle
Ensures necessary information critical to submitting clean claims is obtained
Perform eligibility and benefit checks
Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence
Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payer
Reviews and interprets payer remittances to determine appropriate action to be taken on denied claims
Identify root cause of claim exceptions; resolve and/or escalate issues
Analyzes outstanding account balances and determines plan of action to resolve
Determine and apply appropriate business action in absence of policies or in cases of ambiguity
Identifies and interprets policies related to exceptions
Contacts payers for status of unpaid claims
Maintains knowledge/understanding of third party payer regulations for managed care, Medicare, and Medicaid accounts
Maintains patient confidentiality according to compliance policies and HIPAA