Accounts Receivable (AR) Specialist (Heights)

Our Compensation Package Includes :
Generous Paid Time Off- (11 paid holidays per year, 2 Floating Holidays per year, 14 paid Vacation days per year, 4 hours per month of accrued Sick days)
Medical, Dental, and Vision
401K match up to 4%
Company paid Life Insurance
Company paid Short Term and Long-Term Disability
Employee Assistance Program
Overview

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The A/R Specialist is responsible for the company’s third-party medical claims processing and assisting patients and office staff with questions on insurance claims, authorizations, statements, and other billing issues. This position will submit and follow-up on medical claims for Managed Care Organization (MCO), Medicaid, Medicare, Other Federal, Private Insurance, and Workers Compensation.
Duties and Responsibilities

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Work unpaid claims in follow-up work queues.
Rebills/appeals claims within 30-45 days of denial date.
Provide insurance companies with needed medical records or documents when requested.
Identifies payer trends or issues and reports to leadership for resolution.
Bill patients for non-covered services.
Bill secondary and tertiary insurances after primary payment.
Assist patients with self-pay balances.
Always maintain proper work standards in productivity and quality.
Other tasks as assigned by the Director, Revenue Cycle and Billing.
Education, Experience, Licensure/Certification and Skills/Abilities Related Requirements

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High School Diploma required.
2 years billing experience
5 years collection experience
FQHC collection experience preferred
Continuing Education and Training Requirements :
Participates in trainings required by the funding source and/or as required by licensure.