Medical Account Receivable Specialist

Aspire Allergy & Sinus • Austin, TX

107d

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.

Requirements

• 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.
• Diagnose 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.
• Work 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.

Benefits

• Medical, Dental and Vision Insurance
• Generous Paid Time Off and Paid Holidays
• 401(k) + Generous Employer Match
• Life Insurance
• Gym Membership Discounts

What This Job Offers

• Job Type: Full-time
• Number of Employees: 11-50 employees