Accounts Receivable Specialist

Dayton Physicians•Vandalia, OH

27d•Hybrid

About The Position

Are you looking to expand your career within the healthcare industry? Dayton Physicians Network is looking to add an AR Specialist to our Revenue Cycle team. Job Title: Accounts Receivable Specialist Upon completion of training, this position will be eligible to work from home coming into the office as needed. Must live in the state of Ohio in order to work from home. Summary: Accounts Receivable Specialist follows up on outstanding balances with various insurance companies and/or patients with outstanding balances. Schedule: Monday - Friday, 8:00am to 4:30pm, eight hour shifts No evenings, weekends or holidays! Work/life balance schedules! Why work for Dayton Physician's Network? Full-time employees are eligible for health, dental and vision benefits Company holidays and a flexible holiday! Generous Paid Time Off (PTO) Package Additional accrual increase after 1 year of service with Dayton Physicians! 401K Scrub Allotment Yearly Bonus Program Dayton Physicians Network as an Independent Practice <--- Watch video here! DPN Core Value Expectations: The CARES model reflects the principles that guide our day-to-day behaviors; our decisions, our actions, and our relationships with each other and with the patients and families we serve. All DPN employees are expected to embrace and demonstrate the following: C OMPASSION: the patient is at the center of all we do A CCOUNTABILITY: we hold ourselves accountable for our actions R ESPECT: we show respect for others E XCELLENCE with Innovation: we strive for excellence in all we do S ERVICE through Collaboration: we provide service to our patients, team members and community. Additionally, as DPN is a service-oriented organization, All DPN employees are expected to embrace and demonstrate the following when interacting with patients, employees and other customers: Smile, make eye contact and greet with energy! Restate what you are hearing. Listen patiently and compassionately to complaints. Our patients and families are likely going through a difficult time. Irritability on their part is not about you. Give full attention. Turn away from the computer screen and face the person you are conversing with. Explain any potential delays in service and provide frequent updates. Empathize (feel empathy for someone)

Requirements

Accounts Receivable Specialist requires a High School Diploma or GED
At least two (2) years of previous experience working in a Medical Billing Office, 3-5 years medical billing experience is preferred
This position requires excellent oral and written communication and a strong working knowledge of CPT, HCPCS, ICD-10 coding, Microsoft Office, including Word, Excel and Outlook
Accounts Receivable Specialist requires knowledge of claims processing in a managed care environment, commercial payer environment along with government payers and knowledge of the Fair Debt Collections Practice Act (FDCPA) and other legal policies regarding collecting debt from patients
Attendance and punctuality are essential requirements of this position to provide excellent customer service to both our internal and external stakeholders

Nice To Haves

3-5 years medical billing experience is preferred
Experience with a Medical Practice Management system is preferred

Responsibilities

Reviews all outstanding claims filed to designated payers and/ or patient accounts for which payment or denial has not been received within 28 days of billing
Utilizes reporting capabilities of practice management system to generate reports and data used in working claims in the various aging buckets
Utilizes the capabilities of practice management system to correct and/or appeal as necessary
Utilizes the designated payer websites for effective follow-up and claim rebills
Utilizes the designated payer provider telephone centers for assistance in claim follow-up and collections
Attend webinars as well as various teaching seminars sponsored by designated payers
Receives from payment posting all zero pay and denied claims for research, correction and rebill, write-off, or transfer to patient responsibility
Contacts patients with regard to any unpaid claims; maintains accurate documentation within the practice management system of actions taken to resolve outstanding claims
Maintains compliance with FDCPA at all times
Follow all health care privacy and safety rules and adheres to Dayton Physicians Core Values
Other duties as assigned