Worker's Compensation AR Collections Specialist
About The Position
The Medical Billing Workers' Compensation AR Specialist will be well-versed in all facets of an accounts receivable management system, including billing, claim corrections, reconciliation, insurance refunds/credit balances, customer service, and follow-up. This role involves reviewing claim information for accuracy and providing feedback to clinical and non-clinical areas regarding claim errors or denials. Additionally, the specialist is responsible for all other aspects of collections, resolving customer billing problems, and reducing accounts receivable delinquency. This is a remote position.
Requirements
- High School Diploma or equivalent.
- 1 year of experience in Workers' Compensation Billing and AR collections; preferably in physician office setting.
- Medical Appeals and Denials: 1 year.
- Minimum of 1 year’s knowledge of insurance verification and eligibility experience.
- Knowledge of medical and insurance terminology.
- Attention to detail.
- Ability to effectively communicate both orally and written.
- Ability to work in a fast-paced environment.
Nice To Haves
- Spine/Orthopedic medicine billing knowledge and experience
- Knowledge and experience with Athena EMR. (Preferred, but not required)
Responsibilities
- Medical Billing Workers' Compensation A/R Clean up, Collections and Review.
- Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
- Mail correspondence to insurance carrier for payment of claims in the form of claim review and/or appeals according to carrier guidelines.
- Review and monitor assigned accounts and all applicable collection reports.
- Follow-up claim reviews and appeals with insurance carriers.
- Scan and fax documents pertaining to patient accounts received from carriers.
- Actively searches for solutions to problems and presents ideas and recommendations to Management.
- Retroactive verification of eligibility.
- Always attempt to verify inaccurate/missing information.
- Other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
