Accounts Receivable Specialist

Community Care Physicians•Town of Colonie, NY

5h•$20 - $31•Hybrid

About The Position

Our Central Billing Office in Latham is looking for a full time Accounts Receivable Specialist to join their team! This person will be responsible for accounts receivable for Interventional Radiology AR and Interventional Radiology Physician Hospital Coding and Charge Entry. This is a hybrid position; Monday - Friday 8am-4:30pm. Staff work most of their time at home and are required to come into the office during the initial training period. Once fully trained, they are required to come into the office at a minimum one day a week. Essential Functions include, but are not limited to:

Requirements

A high school diploma or equivalent is required, associates degree preferred.
Minimum of 2-4 years of related medical billing and insurance claim follow-up experience.
Previous experience in Allscripts Practice Management/EHR preferred.
Demonstrated experience in both internal and external customer service.
Experience in working accounts receivables related to specialty (preferably Interventional Radiology) and CPC or CPC-A.

Nice To Haves

A certified Professional Coder designation is highly preferred, but not required.

Responsibilities

Ensure the timely and accurate management of all A/R-related activities for assigned groups.
Manage all aspects of A/R in the Allscripts Practice Management application, including ICD10 and CPT coding, denial management, A/R follow-up, and payer communication.
Communicate and collaborate with various medical facilities as well as internal resources.
Accurately and efficiently bill responsible parties for services rendered by CCP.
Validate global period rules.
Verify patient insurance coverage and eligibility before services are rendered.
Assign accurate diagnosis and procedure codes (ICD-10, CPT, HCPCS) based on physician documentation.
Prepare and submit electronic or paper claims to insurance companies for reimbursement.
Follow up on unpaid or denied claims, identifyreasons for denials, and take necessary actions for resolution.
Post payments and adjustments received from insurance companies and patients into the billing system.
Generate patient statements for outstanding balances and answer patient inquiries regarding their bills.
Monitor and manage accounts receivable and aging and identify and resolve overdue accounts.
Ensure compliance with healthcare regulations (e.g., HIPAA, Medicare, Medicaid) and billing guidelines.
Generate and analyze billing reports to track key performance indicators (KPIs) such as claim submission and reimbursement rates.
Communicate with patients, healthcare providers, and insurance companies to resolve billing issues and ensure accurate billing and reimbursement.
Support peer-to-peer reviews and appeal efforts when required.