Accounts Receivable Specialist

CUMBERLAND FAMILY MEDICAL CENTER IN•Russell Springs, KY

About The Position

Accounts Receivable Specialist Cumberland Family Medical Center (CFMC) operates a Federally Qualified Health Center (FQHC) offering a wide range of health and social services at multiple sites throughout Kentucky. We seek employees who support our mission and who actively contribute to our service-driven environment by enhancing patient experience and improving productivity. CFMC offers compassionate care, uncompromising service and clinical excellence. We offer a collaborative environment with excellent benefits, wage/salary commensurate with experience and relevant work experience. Summary of Duties: Responsible for the follow-up of unpaid insurance claims.

Requirements

High School Diploma or GED.
Knowledge of medical billing procedures and processes
Knowledge of basic medical insurance terminology
Knowledge of computer programs.
Knowledge of business office procedures.
Ability to operate a computer and basic office equipment.
Competency in basic computer functions such as MS Word, Excel and email
Ability to operate a multi-line telephone system.
Skill in answering a telephone in a pleasant and helpful manner
Ability to read, understand and follow oral and written instructions.
Ability to establish and maintain effective working relationships with patients, employees and the public.
Ability to communicate professionally and effectively, orally and by various written methods.
Must be well organized and detail oriented.
Full-time position, 5 days per week, 1 day a month office based.
Work schedules are set at the discretion of CFMC and may be adjusted at any time based on the operational needs of the organization.

Responsibilities

Effectively utilizes internal electronic information systems and third-party resources to perform job functions.
Checks status of submitted claims utilizing various reports and payer systems.
Prioritizes the follow-up of rejected or denied claims appropriately and timely.
Corrects and re-files claims, as appropriate.
Assists with questions from patients, clerical staff and payers.
Runs reports or compiles data for reporting, as required.
Reports suspected or identified billing/payment issues to appropriate designee.
Participates in educational events, monthly staff meetings and other scheduled activities.
Conducts self in accordance with CFMC’s policies, procedures and employee manual.
Maintains strict confidentiality; adheres to all HIPPA guidelines/regulations.
Other duties as assigned.