Medical Accounts Receivable Specialist - Remote
About The Position
Coordinates and performs all aspects of accounts receivable collection and reprocessing of claims. ROLE AND RESPONSIBILITIES Audits and resolves accounts with credit balances Audits and resolves accounts with outstanding balances and determines disposition of delinquent accounts Audits and resolves accounts with credit balances Posts payments and adjustments and take action when rates do not match established fee schedules Performs necessary rebilling or adjusting on accounts Responds to patient inquiries regarding process of services Answers incoming Patient Accounts calls as member of the AR team phone queue Cross trains within department to provide coverage when necessary Collaborates with Office Mgr’s regarding quality of data obtained by office staff, healthcare providers. Organizes work load to achieve a high level of productivity Notifies Manager of information that negatively impacts production Assist with special projects as needed
Requirements
- One of the following must be met: 1) Associates degree in Health Information Management Systems (or related field) with 1+ years’ experience in a healthcare billing and collections office OR 2) Coding Certification/Billing Certificate Program (AAPC’s CPC or AHIMA’s CCA) with 2 years’ experience in a healthcare billing and collections office
- In depth knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules.
- Insurance reimbursement methods, the claims appeal process, understanding of managed care contracts and capitation payments
- Proficient in Microsoft Excel, Word, Access and Outlook
Responsibilities
- Audits and resolves accounts with credit balances
- Audits and resolves accounts with outstanding balances and determines disposition of delinquent accounts
- Posts payments and adjustments and take action when rates do not match established fee schedules
- Performs necessary rebilling or adjusting on accounts
- Responds to patient inquiries regarding process of services
- Answers incoming Patient Accounts calls as member of the AR team phone queue
- Cross trains within department to provide coverage when necessary
- Collaborates with Office Mgr’s regarding quality of data obtained by office staff, healthcare providers
- Organizes work load to achieve a high level of productivity
- Notifies Manager of information that negatively impacts production
- Assist with special projects as needed
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
Number of Employees
101-250 employees
