Accounts Receivable Specialist
Carolinas Center For Oral & Facial Surgery•Charlotte, NC
About The Position
The Accounts Receivable Specialist serves as a liaison among insurance companies, patients, and practices. The role supports Flagship Practices by processing and resolving insurance claims for services provided to patients. The specialist monitors claims, documents resolution activities, and submits information needed to obtain insurance payments, including confirming claim receipt, providing medical records to establish medical necessity, requesting payments, and appealing denials.
Requirements
- High school diploma or GED.
Nice To Haves
- Bachelor's degree in Accounting or a related field.
- 2–3 years of medical and/or dental office experience.
- Knowledge of medical or dental insurance.
Responsibilities
- Resolve claims with insurance companies using insurer portals, websites, contact centers, and call centers; determine claim status and collect payments for services provided.
- Research denied claims and determine next steps for resolution.
- Draft appeal letters and submit additional information needed for insurers to process claims for payment.
- Track and communicate payment and denial trends.
- Document claim resolution activities in the practice management system, including progress toward resolution.
- Ensure reviewed and processed claims are assigned to the correct account category in the practice management system.
- Report the status of assigned accounts to the Revenue Cycle Supervisor weekly or upon request.
- Complete ad hoc claim work lists assigned by Revenue Cycle Leadership.
- Communicate effectively with coworkers, insurance companies, practices, providers, and patients.
- Maintain and promote professional competence through continuing education and other learning experiences.
- Follow HIPAA Privacy and Security policies and procedures while performing job duties.
- Participate in Revenue Cycle Team meetings and share successes, barriers, and process improvement opportunities.
- Perform other duties as assigned.
Benefits
- 401(k) with employer match.
- Eight paid holidays.
- Accrual of up to four weeks of vacation in the first year.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
