Medical Revenue Cycle - AR Specialist

Serenity Mental Health Centers • Lehi, UT

1d

About The Position

The Accounts Receivable Specialist performs collection and follow up activities with third party payers to resolve outstanding balances, secure accurate and timely adjudication, and achieve successful closures of aged accounts receivable.

Requirements

• 2+ years AR/collections experience in the professional medical field
• High School Diploma/GED (relevant Associate/bachelor’s degree preferred)
• Proficiency with Microsoft Excel, Word, Outlook, Teams
• Knowledge of commercial and government plans, CPT, ICD-10
• Proficiency with payor portals, Availity, Waystar (eCW a plus)
• Attention to detail with strong data entry skills (10 key, 40wpm typing)
• Excellent verbal/written communication and customer service skills
• Knowledge of medical terminology, insurance processing guidelines, TF statutes
• Strong understanding of CCI edits, mutually exclusive, medical necessity, bundling, coordination of benefits issues
• Strong analytical and reporting skills
• A patient, pleasant disposition that works well with a team
• Ability to work independently and make decisions with limited supervision as needed

Nice To Haves

• CRCS (Certified Revenue Cycle Specialist)
• Behavioral Health

Responsibilities

• Performing online account status checks and following up with payers by phone, email, etc. on outstanding claim balances of assigned accounts
• Clearly document in EMR system patient account notes, the payment status of the account, and/or actions taken to secure payment. If applicable, requests account for additional follow up activity within a prescribed number of days in accordance with payer specific filing requirements or processing time required for insurance to complete processing. Must note all actions taken within the notes section to ensure all prior touches have been recorded and the account tells the story.
• Taking appropriate action to resolve account balances promptly - whatever is needed to secure account payment and/or bring the account to successful closure (submitting appeal requests, correcting account information, coordinating requests for medical records, requesting and/or performing posting of account adjustments, performing billing corrections, etc.)
• Balancing creativity and sound judgement to proactively identify and resolve claim issues and quickly escalating any large/repetitive issues to management for support in problem-solving.
• Achieving established productivity and quality standards within 30 days of employment: Maintaining 90% accuracy rate, low days in AR, and outstanding percentages under 10%
• Seeking advice and guidance as necessary to ensure proper understanding
• Staying up to date on applicable rules, regulations, policies, laws and guidelines, and following internal controls, patient confidentiality policies, and program requirements

Benefits

• Competitive pay
• Excellent benefits: We cover 90% of medical, dental & vision
• 401(k) – because your future deserves self-care too
• 10 PTO days (15 days after first year) + 10 paid holidays to rest, reset, and recharge

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees