AR Follow Up Specialist

Family & Children's Services•Tulsa, OK

1d•Hybrid

About The Position

The AR Follow Up Specialist plays a key role in ensuring timely and accurate reimbursement for behavioral health services. The billing specialist in this role maintains accurate client eligibility information, identifies and resolves billing errors before claims are submitted, and follows up on claims, denials, payer correspondence, and authorizations. The specialist works closely with the Reimbursement Supervisor to improve processes, efficiencies, and productivity throughout the revenue cycle. The AR Follow Up Specialist performs research and resolves all denials and correspondence from assigned payers. AR Follow Up Specialist also rebills and/or appeals claims that have not been paid or have been denied unjustly. AR Follow Up Specialist follows up on all outstanding claims as outlined in the Accounts Receivable process and procedures, providing a detailed account on all claims in an outstanding status.

Requirements

High school diploma or equivalent.
Minimum of two (2) years’ experience in healthcare billing, reimbursement, or revenue cycle operations.
Thorough understanding of Medicaid and ODMHSAS rules and regulations, as well as HIPAA and client privacy requirements.
Strong attention to detail and accuracy in reviewing, verifying, and updating client eligibility and billing information.
Ability to maintain professional conduct, maintain confidentiality of clients and information, and have strong computer skills, including proficiency in Excel.
Excellent communication, problem-solving, and time management skills.
Ability to work independently and collaboratively both internally and externally.

Nice To Haves

Experience with Medicaid, ODMHSAS, Medicare, or other third-party payers within an outpatient behavioral health setting preferred.

Responsibilities

Maintains accurate client eligibility information
Identifies and resolves billing errors before claims are submitted
Follows up on claims, denials, payer correspondence, and authorizations
Performs research and resolves all denials and correspondence from assigned payers
Rebills and/or appeals claims that have not been paid or have been denied unjustly
Follows up on all outstanding claims as outlined in the Accounts Receivable process and procedures, providing a detailed account on all claims in an outstanding status