AR SPECIALIST (43220)

UROLOGY CLINICS OF NORTH TEXAS PLLC•Mesquite, TX

12d•Onsite

About The Position

A busy urology practice with eighteen locations spread throughout the Dallas metroplex is looking for a customer-focused office professional to perform collections, filing claims, handle appeals, and correspondence with Payers . ESSENTIAL DUTIES OF THIS POSITION INCLUDE: As an Collections Specialist, candidate will be responsible for the following summary of duties: Prioritize tasking and utilize tasking for daily work Follow up on all claims from billing through final resolution Correct and identify billing errors and resubmit claims to insurance carriers Review insurance EOB and initiate appeals and as necessary Respond to Payer’s request for additional information/documentation Posting account adjustments as a result of written communication from third parties (i.e. certain contractual adjustments) Answer incoming calls and assist insurance carriers with their requests Communicate patient responsibility with patient Collect on patient balances and/or establish payment plan Review weekly schedules for patients with upcoming appointments, contact patient and communicate to front desk arrangements made to collect balances Return mail (patient statements), contact patient to obtain correct billing address and/or payment Answer incoming calls and assist patients with their billing inquiries

Requirements

High School Diploma
Knowledge of CPT Coding, ICD10 and use of appropriate modifiers
Experience working appeals and composing appeal letters
Knowledge of bundling and global periods
Experience working Medical collections, both insurance and patient
Urology and medical terminology
Knowledge of insurance plans, claims, and billing processes

Nice To Haves

Experience working in Microsoft Word & Excel, & NextGen is a PLUS!

Responsibilities

Prioritize tasking and utilize tasking for daily work
Follow up on all claims from billing through final resolution
Correct and identify billing errors and resubmit claims to insurance carriers
Review insurance EOB and initiate appeals and as necessary
Respond to Payer’s request for additional information/documentation
Posting account adjustments as a result of written communication from third parties (i.e. certain contractual adjustments)
Answer incoming calls and assist insurance carriers with their requests
Communicate patient responsibility with patient
Collect on patient balances and/or establish payment plan
Review weekly schedules for patients with upcoming appointments, contact patient and communicate to front desk arrangements made to collect balances
Return mail (patient statements), contact patient to obtain correct billing address and/or payment
Answer incoming calls and assist patients with their billing inquiries