Accounts Receivable Specialist II

     Job Responsibilities

• Resolves higher dollar, aged accounts receivable to determine why a claim has not be paid and takes necessary actions to get claim paid immediately.


• Promptly resolves denials by identifying the root cause of the issue and then taking any necessary actions to get denial overturned and paid promptly.


• Works with payers, departments, management and patient (if required) to obtain necessary information for claim resolution.


• Provides feedback to supervisor and ensures collecting the information of trends and responds to inquiries about trends.


• Performs any necessary account adjustments in accordance with department policies.


• Ensures assigned work queues are reviewed and resolved timely.


• Monitors assigned work queues and payers for identification of potential problems.


• Proactively escalates unresolved questions or issues. Shares information as necessary.


• Other duties as assigned.

Education Requirements

• High school diploma or GED

Experience Requirements

• Minimum: Two (2) years of experience working with insurance balances in a business office or similar role.  


• Preferred:  Three (3) years of insurance follow-up experience working in Epic EMR handling claims of moderate to high complexity

License/Certification Requirements

•  Minimum:  None