Senior Accounts Receivable Specialist RCM

Core Clinical Partners•Lafayette, LA

About The Position

Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery. The Senior Accounts Receivable Specialist will utilize multiple EMR systems to review and satisfy billing edits, charge information, private or government insurance benefits, and other related information from multiple billing and documentation servers (for multiple hospitals, clinics and insurance companies) Under the direction of the AR Manager, the Sr. AR Specialist will follow up on outstanding AR for all payers including self-pay and resolution of denials. This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability.

Requirements

Proven experience in accounts receivable or related financial role.
5 years’ experience in Healthcare Revenue Cycle required.
Proficient in using payer software and EMR systems.
High school diploma required.
Excellent analytical and problem-solving skills.
Effective communication and interpersonal skills.
Detail-oriented and capable of meeting tight deadline.
Ability to work within a team environment.
Exhibit growth mindset and team-orientated behaviors.

Nice To Haves

Bachelor’s degree in Accounting, Finance, or related field preferred

Responsibilities

Investigate, follow up with payers, and collect the insurance accounts receivable assigned by the manager of outsourced and internal AR aging, clearinghouse rejections, and payer denials.
Perform comprehensive follow up activities that facilitate cash collections and document follow up activity in the appropriate system.
Maintain professional interaction with colleagues and clients.
Identify any payer-specific issues and communicates to team and manager.
Comply with performance and productivity standards while maintaining quality levels, as set forth by senior leadership.
Navigate and utilize payer websites for appeals/reconsiderations, medical records attachments, verification of benefits and/or web-based claims follow up.
Research and completes special projects and requests as needed.
Participates in staff meetings and assigned continuing education, and recommends new approaches, policies, and procedures to effect continual improvement in efficiency of the department and services performed.
Maintains a strict level of confidentiality for all company, departmental, and healthcare provider information.
Provide excellent customer service while addressing payment-related issues.
Performs other related duties as assigned.