AR Specialist

COLORADO SPRINGS ORTHOPAEDIC GROUP•Colorado Springs, CO

1d•Onsite

About The Position

This position is responsible for following up on claims from billing through final resolution. Core duties include working denied and unpaid accounts receivable from insurance on a daily basis to secure payment, calling insurance companies, and utilizing insurance websites to obtain claim status. The role also involves actively following up and collecting on paper and electronic claims, identifying and correcting billing errors, resubmitting claims, and ensuring timely filing of corrected claims and appeals. The specialist will follow protocol for write-offs and adjustments, identify denial trends, and develop solutions to reduce denials and increase payments. They will manage insurance AR processes for assigned accounts, monitor trends, and notify appropriate staff. The role requires meeting deadlines, assisting in AR process development, responding to insurance questions, ensuring regulatory compliance, and handling tasks, emails, and calls from insurance companies, staff, and management. Additionally, the position may involve processing patient payments over the phone, answering patient calls, processing insurance refund requests, and working insurance credits. Acting cooperatively and courteously with all parties and providing extraordinary customer service are essential.

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.
Process patient payments over the phone and answer patient phone calls, as needed.
Process insurance refund requests and work insurance credits as needed.
Act cooperatively and courteously with patients, visitors, insurance companies, co-workers, physicians and management.
Provide extraordinary customer service to all parties interacted with.
Other duties as assigned by management.