AR Specialist FT

GIBSON AREA HOSPITAL•Gibson City, IL

2d•$20 - $27•Onsite

About The Position

The AR Specialist is responsible for accurate and timely billing and follow-up of claims to ensure prompt payment from all payers. The role includes communication and research regarding patient accounts in coordination with the departments involved. The position is based at Heartland Bank in Gibson City, Illinois, and is regular full-time, 40 hours per week, Monday through Friday, 8:00 a.m. to 4:30 p.m. The stated hourly salary range is $20.00 to $27.00. The role requires processing and following up on patient accounts across Medicare, Medicaid, Blue Cross, commercial insurers, and other third parties. It involves responding to patient and payer inquiries, reviewing account information, pursuing denials and rejections, processing correspondence and EOBs, and resolving credit balances. The position reports to the Director of Patient Financial Services. The work is performed in an office with relatively few discomforts from dust or dirt and some exposure to printer noise. Coworker traffic may be constant, causing interruptions that can produce stress and fatigue. The position does not involve exposure to blood, body fluids, or tissue and does not involve emergency medical care or first aid.

Requirements

General knowledge of mathematics and accounting principles.
Previous experience with billing forms required for different insurance plans.
Knowledge of medical terminology.
Familiarity with legal and ethical compliance in charging and billing.
Previous experience with billing policies and procedures.
Analytical skills to evaluate claims for billing and payer-payment errors.
Knowledge of patient rights.
Good communication skills to assist patients with billing questions and concerns.
Ability to use a PC keyboard, calculators, copy machines, printers, and other office equipment.
Ability to perform light physical activities, including lifting, standing, and sitting at a workstation for up to four hours at a time.
Ability to lift 10 pounds from floor to waist, waist to shoulder, and shoulder to overhead, and carry 10 pounds for 15 feet.
Visual acuity necessary to observe, obtain information, and use documentation.
Auditory acuity to hear others for fluent communication.

Nice To Haves

AAHAM CRCS certification preferred.

Responsibilities

Run required daily reports to prepare billing follow-up for patient accounts involving Medicare, Medicaid, Blue Cross, commercial insurers, and other third parties.
Make outgoing calls and receive incoming calls to answer inquiries from patients, insurance companies, and other parties about claim status and billing questions.
Follow up with insurance companies accurately and promptly according to established policies and procedures.
Review patient account information from admissions and outpatient registration, identify missing information, and determine how to ensure timely follow-up.
Respond to billing questions and provide clarification to customers.
Develop and maintain appropriate communication with insurance payers, outside agencies, and internal departments.
Refer non-routine issues to management for clarification.
Update and prepare correspondence to customers and insurance payers as necessary.
Communicate customer needs with an appropriate level of urgency.
Process and scan all EOBs and correspondence within two business days.
Rebill and reprocess denials and rejections, exploring available avenues to resolve issues with insurance payers.
Process walk-ins.
Resolve credit balance reports monthly.
Work professionally, courteously, and respectfully with fellow staff.
Work the denial program daily.
Perform other duties assigned by the Director of PFS or Executive Director of Revenue Cycle.