AR Specialist

Peachtree Orthopaedic Clinic • Atlanta, GA

5d

About The Position

Responsible for a variety of medical office /clerical tasks relating to claims processing; contacts patients and responsible parties to resolve past-due accounts; investigates account status and initiates collection procedures.

Requirements

• High school diploma or general education degree (GED).
• Minimum 5 years of medical billing and account follow-up experience.
• Knowledge of ICD-10, CPT, HCPCS, and the use of modifiers preferred.
• Familiar with CMS 1500/UB04 claim form completion, knowledge of Medicare, Managed care, and commercial insurance products and plans.
• Knowledge of physician billing and /or collections.
• Typing speed 55 wpm and the ability to use a calculator.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine reports and correspondence.
• Ability to speak effectively before groups of customers or employees of the organization.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to compute rate, ratio, and percent, and to draw and interpret bar graphs.
• Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
• Ability to deal with problems involving a few concrete variables in standardized situations.
• To perform this job successfully, an individual should be proficient in MS Word, Excel, and PowerPoint.
• General knowledge of technology is preferred.
• CPC required

Nice To Haves

• Certified Patient Account Representative (CPAR) preferred.

Responsibilities

• Timely and appropriate resolution of all assigned accounts for third-party payors and/or patients with the purpose of managing accounts receivable balances.
• Identify and communicate AR trends, denial issues, or irregularities impacting the resolution of AR or daily production workflow to the supervisor and other team members and recommend resolution.
• Responsible for accurate and timely charge capture for clinic and hospital-based services.
• Maintains up-to-date knowledge of third-party billing and reimbursement, the clinic’s financial policies, and industry knowledge.
• Prepares and submits daily productive reports as required.
• Completes annual compliance and regulatory requirements as applicable.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees