On Site - CT; Accounts Receivable Specialist

Summit Health•Rocky Hill, CT

18d•Onsite

About The Position

The Accounts Receivable (AR) Follow up position is responsible for management and resolution of all unpaid or denied insurance claims. This role works with insurance payers, patients, and internal teams to collect money owed and maintain a healthy cash flow. Core duties include working claim edits, claim rejections, denied claims, and unpaid or underpaid claims with the various payers including but not limited to the following: Medicare, Medicaid, Medicare Advantage, Medicare supplemental, commercial, and Liability insurances.

Requirements

High School diploma, GED or Equivalent Required
3-5 years AR follow-up or full circle revenue cycle experience
Excellent oral and written communication skills
Excellent organizational and multitasking skills
Team Player
Self-motivated independent worker.

Nice To Haves

Previous experience in large Multi-Specialty Practice preferred
Epic knowledge preferred
CPC certification preferred

Responsibilities

Claim Tracking: Check the status of unpaid or pending claims using payer websites, portals, or phone calls.
Denial Management: Research and resolve claim denials or rejections by reviewing codes, contracts, and medical records.
Appeals and Resubmissions: Write and submit appeal letters or correct claims to overturn denied claims and secure payment.
Account Documentation: Write clear and concise notes in the billing software for every action taken on an account.
Communication: Talk to insurance companies, patients, and internal departments to fix demographic or billing errors. Alert management to trends and issues needing escalation.
Adjustment Requests: Identify and request adjustments to insurance and patient balances.
Productivity/Quality: Ability to maintain productivity and quality as set based on department policies.
Confidentiality: Ability to follow HIPPA guidelines and policies an maintain PHI integrity.
Teamwork: Ability to work as a team player in department as well as with other departments as tasked/assigned.