Accounts Receivable Specialist

Therapy Partner Solutions Holdings•Greenville, SC

About The Position

Manages all aspects of the billing process for one or more clients. This includes but is not limited to filing claims electronically or hard copy, accounts receivable management, answering patient questions, submitting insurance appeals, managing worker’s compensation claims, managing insurance correspondence and other tasks required to manage a client’s account.

Requirements

Strong telephone, interpersonal and customer service skills.
Ability to identify trends and work with a team to resolve issues.
Medical billing experience which includes a strong knowledge base of third-party payer rules, regulations, and trends.
Strong understanding of the accounts receivable processes.
Positive, professional and team-oriented personality and appearance.
Ability to adapt quickly and easily to changes.
High level of detail and organizational skills.
Strong verbal and written communication skills.
Ability to communicate in a calm, orderly, non-threatening manner.
Ability to work with interruptions and to manage multiple priorities.
Stable work history: regular and sustained attendance required.
Professional demeanor with the ability to work well with others in a fast-paced environment.
Demonstrated strong organizational skills (record keeping, time management, follow up, etc.).
Excellent attention to detail and sense of urgency, ability to prioritize with an emphasis on quality and accuracy of work.
Ability to multi-task, prioritize and deal with interruptions while meeting timely deadlines.
Ability to operate all office equipment (i.e., calculating machine, computer, word processing, database and spreadsheet programs, telephone, copy machine and fax machine).
Computer experience: Microsoft Office Applications, Internet etc.

Responsibilities

Monitor the processing of all payments from insurance carriers and patients for each client.
Perform all required activities to ensure that clean claims are filed in the timeliest manner possible.
Research, pursue and resolve denied claims for payments using the most appropriate method to obtain payment in a timely manner.
Resolve problems and answer inquiries from patients, clinic staff and third-party payers utilizing excellent customer service skills.
Maintain the aged accounts receivable for assigned clients within the boundaries established by the client and MBC Policy and Procedure.
Establish and maintain a professional business relationship with all assigned clients, all patients and third-party payers.
Identify and resolve any insurance processing, posting, credit balances, clinic data entry and electronic transmission errors.
Work correspondence for assigned clients, following MBC procedures and following up with problem payers.
Provide back-up responsibilities for assigned back-up clinics in other employee absences.
Monitor practice management system for any changes or abnormalities and report any problems or unusual situations to MBC management.
Follow the MBC refund process and procedure to ensure that refunds requests are submitted to the assigned clients by the guidelines set forth by the state and federal laws.
Post all actions related to all patients’ accounts into the practice management system as a permanent record.
Establish and maintain a professional and courteous work environment and display a willingness to work with others to ensure the team’s success.
Other duties as assigned.