AR Specialist

Complete Health • Fultondale, AL

6d

About The Position

The person handling this position is responsible for correcting, completing, and
processing and collecting payment for claims of all payer codes.

Requirements

• High School Diploma or Equivalent
• At least 1 year of billing and AR follow up experience (outpatient/medical practice coding experience preferred)
• Training or background in ICD-10 / CPT codes.
• Knowledge of medical terminology and billing practices.
• Ability to work under pressure and multi-task.
• Ability to problem solve and pay attention to detail.
• Understanding of community-based organizations.
• Ability to communicate with the medical staff and management.
• Ability to work proficiently and efficiently on a timely manner.
• Knowledge of all payer codes.
• Understanding of the life cycle of a medical billing claim and how to improve the revenue cycle
• Expertise in effective claim follow-up, patient follow-up, and denial resolution

Nice To Haves

• CPC Certification preferred
• outpatient/medical practice coding experience preferred

Responsibilities

• Resolving claim denials and issues with claim payment in a timely manner.
• Follow-up with insurance companies regarding unpaid claims and denials.
• Review claim data for completeness and accuracy. This includes updating account information, reviewing claim history and EOBs, validating diagnosis, CPT and ICD codes, and transferring charges to the correct carrier or agency.
• Correct and refile claims
• Make adjustments to claims and patient accounts based on adjustment policies.
• Effectively communicate with providers on claim documentation for charges submitted.
• Ensuring payer portal accounts are accessible for claim research.
• Work with office staff and revenue cycle manager to investigate and help resolve coding and billing issues.
• Collect patient and insurance balances in a timely manner.
• Answer billing phone calls and providing exceptional customer service to patients with billing related questions when needed.
• Submit initial electronic claims when necessary
• Cross train in other aspects of the department as assigned
• Other special projects or duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees