Accounts Receivable Specialist (Healthcare)
Emergicon•Terrell, TX
•Onsite
About The Position
The A/R Specialist is responsible for reviewing claims, following up with insurance carriers and patients, and reporting trends in accounts receivable to management.
Requirements
- Strong professional communication skills
- Detail-oriented with strong organizational skills
- Knowledge of managed care plans, insurance processes, and medical terminology
- Familiarity with reimbursement fee schedules (Medicare and Medicaid)
- Understanding of refund processes and requirements
- Ability to establish and maintain cooperative working relationships with staff
- Ability to prioritize tasks and manage multiple assignments simultaneously
- Proficiency with accounts receivable software, insurance portals, and Microsoft Office applications
- High school diploma or equivalent required; associate’s degree or higher preferred.
Nice To Haves
- Experience in Medicare A/R, commercial insurance, appeals, correspondence, and denials preferred.
Responsibilities
- Process claims over 60-days in a timely manner
- Work assigned denials and correspondence
- Utilize clearinghouse and insurance portals to check claim status
- Identify and report trends detected to management
- Prepare corrected claims and appeals, as needed
- Process inbound and outbound calls as needed to insurance carriers
- Comply with all state and federal collections and HIPAA regulations
- Perform other job-related duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
11-50 employees
