Medical A/R Specialist
About The Position
The Accounts Receivable (A/R) Specialist is responsible for reviewing claims to ensure reimbursement by following up with insurance carriers and patients as well as recognizing any trends in reporting and communicating those trends to the lead and/or manager for review. ESSENTIAL DUTIES AND RESPONSIBILITIES Manage all claims over 60-days on the A/R reports in a timely manner Work assigned denials and correspondence Utilize clearinghouse and insurance portals for claim status Report all trends detected in A/R management Prepare corrected claims and appeals, as needed Process inbound and outbound calls as needed to insurance carriers Follow all state and federal collections and HIPAA laws Other job-related duties as assigned
Requirements
- HS Diploma/GED
- Medical A/R experience required/EMS billing preferred
- Maintain certifications applicable to job functions
- Computer literate with ability to type a minimum of 40 WPM
- Ability to communicate effectively and in a professional manner
- Detail Oriented
- Knowledge of managed care plans, insurance, medical terminology
- Knowledge of reimbursement fee schedules (Medicare and Medicaid)
- Knowledge of refund processes and requirements
- Ability to establish/maintain cooperative working relationships with staff
- Ability to prioritize and multi-task
Nice To Haves
- Experience in Medicare A/R, commercial insurances, appeals, correspondence, and denials is a plus.
Responsibilities
- Manage all claims over 60-days on the A/R reports in a timely manner
- Work assigned denials and correspondence
- Utilize clearinghouse and insurance portals for claim status
- Report all trends detected in A/R management
- Prepare corrected claims and appeals, as needed
- Process inbound and outbound calls as needed to insurance carriers
- Follow all state and federal collections and HIPAA laws
- Other job-related duties as assigned
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
