Medical Accounts Receivable Specialist - Insurance Follow-Up
About The Position
Columbus Arthritis Center is one of Ohio's largest private rheumatology practices, with two locations serving the Central Ohio community. As our practice continues to grow, we're looking for an experienced Medical Accounts Receivable Specialist to join our Revenue Cycle team. This position is ideal for someone who understands the medical insurance revenue cycle and knows how to resolve unpaid claims. Medical billing, insurance follow-up, or healthcare accounts receivable experience is required. We're looking for someone who can research unpaid claims, understand denials, communicate effectively with insurance carriers, and determine what needs to happen next to get a claim paid.
Requirements
- Medical billing, insurance follow-up, or healthcare accounts receivable experience is required
- Understand the medical insurance revenue cycle
- Ability to resolve unpaid claims
- Ability to research unpaid claims
- Ability to understand denials
- Ability to communicate effectively with insurance carriers
- Ability to determine next steps to get a claim paid
Responsibilities
- Work unpaid and partially paid medical insurance claims
- Contact insurance carriers to determine claim status and resolve outstanding balances
- Research claim denials and identify the reason for nonpayment
- Correct and resubmit claims when appropriate
- Prepare and submit appeals and supporting documentation
- Review A/R aging and proactively work outstanding accounts
- Verify billing and claim information and correct errors
- Process appropriate account adjustments
- Document follow-up activity accurately and completely
- Identify complex or problematic accounts and escalate when necessary
- Meet established productivity and follow-up expectations
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
