AR Specialist

COLORADO SPRINGS ORTHOPAEDIC GROUP•Colorado Springs, CO

7d•$23 - $26

About The Position

This position is responsible for following up on claims from billing through final resolution. Other responsibilities include: Essential Functions: Core duties include the following, but are not limited to: Work denied and unpaid accounts receivable from insurance on a daily basis to secure payment. Call insurance companies and utilize insurance websites to obtain claim status. Actively follow up and collect on paper and electronic claims from insurance companies and follow up on unpaid balances. Identify and correct billing errors and resubmit to insurance carriers while ensuring corrected claims and appeals are sent out to insurance companies timely (timely filing). Follow protocol related to write offs and adjustments policies. Identify denials trends and develop solutions to reduce denials and increase payments. Actively manage all Insurance AR processes for assigned accounts, monitoring trends and notifying the appropriate staff. Keep on task to meet all required deadlines and time-frames for customer and company needs. Assist in the development of processes and procedures for accounts receivable as needed. Respond to all insurance questions regarding AR. Ensure compliance with all relevant regulations, standards, and laws Respond/answer tasks, email and phone calls from insurance companies, staff, and management Report and participate in company meetings, as requested Process patient payments over the phone and answer patient phone calls, as needed Process insurance refund requests and work insurance credits as needed Acting cooperatively and courteously with patients, visitors, insurance companies, co-workers, physicians and management. Able to provide extraordinary customer service to all parties interacted with. Other duties as assigned by management.

Requirements

High School Diploma or GED required
3 years of experience in specialty insurance collections, including submitting and following up on claims
Experience in Physician Billing and Collections / Facility Billing
Proficiency with MS Office
Familiarity with ICD terms

Responsibilities

Work denied and unpaid accounts receivable from insurance on a daily basis to secure payment.
Call insurance companies and utilize insurance websites to obtain claim status.
Actively follow up and collect on paper and electronic claims from insurance companies and follow up on unpaid balances.
Identify and correct billing errors and resubmit to insurance carriers while ensuring corrected claims and appeals are sent out to insurance companies timely (timely filing).
Follow protocol related to write offs and adjustments policies.
Identify denials trends and develop solutions to reduce denials and increase payments.
Actively manage all Insurance AR processes for assigned accounts, monitoring trends and notifying the appropriate staff.
Keep on task to meet all required deadlines and time-frames for customer and company needs.
Assist in the development of processes and procedures for accounts receivable as needed.
Respond to all insurance questions regarding AR.
Ensure compliance with all relevant regulations, standards, and laws
Respond/answer tasks, email and phone calls from insurance companies, staff, and management
Report and participate in company meetings, as requested
Process patient payments over the phone and answer patient phone calls, as needed
Process insurance refund requests and work insurance credits as needed
Acting cooperatively and courteously with patients, visitors, insurance companies, co-workers, physicians and management.
Able to provide extraordinary customer service to all parties interacted with.
Other duties as assigned by management.