Accounts Receivable Specialist

Avenue 360 Health and Wellness • Houston, TX

23d

About The Position

Overview: The A/R Specialist is responsible for the company’s third-party medical claims processing and assisting patients and office staff with questions on insurance claims, authorizations, statements, and other billing issues. This position will submit and follow-up on medical claims for Managed Care Organization (MCO), Medicaid, Medicare, Other Federal, Private Insurance, and Workers Compensation.

Requirements

• High School Diploma required.
• 2 years billing experience
• 5 years collection experience

Nice To Haves

• FQHC collection experience preferred

Responsibilities

• Work unpaid claims in follow-up work queues.
• Rebills/appeals claims within 30-45 days of denial date.
• Provide insurance companies with needed medical records or documents when requested.
• Identifies payer trends or issues and reports to leadership for resolution.
• Bill patients for non-covered services.
• Bill secondary and tertiary insurances after primary payment.
• Assist patients with self-pay balances.
• Always maintain proper work standards in productivity and quality.
• Other tasks as assigned by the Director, Revenue Cycle and Billing.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees