Medical Account Receivable Specialist

Aspire Allergy & Sinus•Austin, TX

8d•Onsite

About The Position

Aspire Allergy & Sinus is seeking a full-time Medical Account Receivables Specialist to evaluate assigned payers to include working rejections, invalid and denied claims, appeals and follow-up to bring the account to final resolution on open accounts within a timely manner and to Industry-standard benchmarks. This position ensures accounts receivable compliance within industry rules, regulations, practice protocols in addition to company policy. Schedule- Fully Onsite Work Monday - Thursday: 8am- 5PM Friday: 8am- 12PM (40 hour work week) 5929 Balcones Dr. Suite 200 Austin, TX 78731

Requirements

Excellent mathematical skills, computer skills, Microsoft applications and word processing programs skills and a minimum of 40 words per minute required
Excellent writing and verbal communication skills
Strong phone skills, inbound or outbound
Strong attention to detail, goal oriented
Ability to prioritize and manage multiple abilities
Ability to work in a results-oriented and fast-paced environment, both individually and as part of a team
Able to establish and maintain effective working relationships with the insurance carriers, patients and employees.
Must respect the confidential nature of medical information.
4+ years billing experience within the healthcare industry
4+ years A/R experience with proven record collecting on accounts

Responsibilities

Responsible for daily monitoring of invalid, rejections, and denials populated by the clearing house. Diagnosis the error messages and make necessary corrections so the claim can be accepted to the payer electronically
Demonstrate a thorough understanding of the Accounts Receivable function and compliant with Federal and State regulations and Aspire Allergy & Sinus Center policy and procedures
Works Insurance Accounts Receivable reports per Revenue Cycle Manager work plan beginning with >120 aging top dollar working in descending order. Research claim denial reasons and take appropriate follow up action for resolution
Work correspondence in a timely fashion to include submission of medical records when requested
Demonstrate the ability to effectively communicate and explain benefits, statements and EOB’s to patients and/or front office staff
Contact insurance companies for payments requests, overdue payments, denied claims etc.
Identify refunds and complete refund request according to company policy
Clearly and accurately document issues and actions taken in accounts
Identify and document new payer denial trends and notify supervisor for escalated follow up
Maintain strong communication with Billing management team
Escalate unresolved claim denials to Billing management team for follow up with health plan provider representatives
Ensure compliance with Aspire Allergy & Sinus Center Policies and Procedures to maximize efficiency
Maintain strong working knowledge of Allergy, Asthma & Sinus coding
Maintain confidentiality of all information related to patients, medical staff, finances and cost-effective healthcare delivery issues
Other duties as assigned to include phone coverage