AR Specialist

PT Solutions Physical Therapy•,

1d•Onsite

About The Position

The Accounts Receivable Specialist supports PT Solutions by playing a key role in the revenue cycle process, by collecting debts from patients or insurance companies.

Requirements

Ability to type 60 words per minute preferred.
Great customer service skills.
Strong interpersonal, oral (includes telephone skills) and written communication skills.
Good organizational skills and an ability to prioritize to meet deadlines.
Complete understanding of medical reimbursement and terminology.
Working knowledge of all standard office equipment.

Responsibilities

Work aged receivables utilizing A/R reports
Review and assess adjudicated claims for timely and proper payment of outstanding balances.
Research, correct, and resubmit or reprocess unpaid claims as necessary
Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting
Identify liability with guarantor and transfer balances timely and appropriately
Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
Research and resolve denials and underpayments with insurance carriers
Submit carrier appeals and reconsideration requests in a timely manner
Process insurance refund requests as necessary and according to policy and procedure
Meet productivity goals/benchmarks as set and communicated by Billing Manager
Serve as primary customer service representative for payer inquiries/calls and secondary for patient inquiries/calls
Maintain confidentiality of patient information
Work collaboratively with other Coding, Billing, Front desk and departments as needed