Accounts Receivable Specialist

Description

Position Description:

The AR (Accounts Receivable) Specialist position is a part of the Insurance Collections Department that assists with Insurance Collections through routine follow up, pre authorizations, and denial management techniques. 

Position Duties:

This position requires the following to successfully execute all job functions: 

• Obtains and documents bill payment status 
• Send medical records to insurance payers 
• Resolves AR denials correctly
• Sending pre- drafted appeal letters
• Confirm receipt of claim documents
• Adjusts balances according to any applicable fee schedules 
• Confirm correct payment of claims
• Request supporting documentation from insurance carriers
• Provide detailed chart and encounter notes
• Document payments made to patients, attorney, and expected payments to our facilities
• Obtain missing information from patients 
• Answer Billing/Collections line and “Zero line for all corporate departments
• Answer patient phone calls regarding billing questions
• Provide explanations of billing
• Respond to group emails and department requests in a timely manner 
• Confirm, document, and obtain prior authorization of procedures
• Review and correct electronic claim errors
• Submit Provider maintenance.
• Ensure all surgical charts have complete verification details available in chart
• Coordinate with other AR Specials and departments to resolve billing errors 
• Complete all other assigned tasks from management after completion of all previously mentioned duties.

Position Expectations:

To perform the position successfully, an individual is expected to:

• Understand and manage AR denials
• Understand medical terminology and practices 
• Be detail oriented and focused
• Use knowledge of system functions and Microsoft suite.
• Understand revenue cycle 
• Be goal oriented and metric focused 
• Work well with others 
• Maintain a positive attitude
• Use effective communication methods
• Multi-task 
• Use resources available to overturn AR denials 
• Monitor emails closely

Position Metrics:

The execution of the position is quantifiably measured by the following:

• Production
• Department Collections
• Company collections

Requirements

Education:

• High School diploma; additional certifications or degrees are a plus but not required

Experience:

• 1 + years of experience in Insurance collections or medical billing. 

Required Skills:

• Understanding of Insurance collections process.
• Ability, and willingness to meet deadlines.
• Strong attention to detail.
• Basic knowledge of Microsoft suite.
• Team player attitude, and the ability to cohesively work with colleagues on all levels. 

Position Miscellaneous:

• Hourly; Non-Exempt
• 40 hours per week; extended work hours may be approved by management to meet deadlines
• Successful attainment of individual and department goals is critical.
• Additional duties can be assigned by management upon completion of normal position duties within reason.

Physical Demands:

• Frequent sitting; 
• Frequent manipulation of documents.
• Frequent typing or use of keyboard.
• Occasional lifting up to 10-15 pounds.
• Occasional stooping and bending.