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Medical Accounts Receivable Specialist

Job Description - Medical Accounts Receivable Specialist


 

The Accounts Receivable Specialist is responsible for research and follows up of accounts to ensure timely collection of outstanding A/R.

Key duties include:

  • Perform audits of patient accounts to ensure accuracy and timely payment
  • Review account aging, identify and report inconsistencies and corrects errors
  • Research rejections, denials, bad debt and other projects
  • Review credit balance reports for correct recipient of funds
  • Review and research EOB’s
  • Resubmission of claims and submittal of appeals
  • Verification of patient coverage, authorization and billing inquiries
  • Perform reconciliation of refund accounts; attach documentation and forward to manager to process refund checks
  • Identify problems on accounts and follows through to conclusion
  • Respond to insurance company requests for information in a prompt and professional manner

Requirements

 

Qualifications

  • 2+ years of medical billing and A/R experience
  • Professional attitude
  • Ability to solve problems, prioritize and multi-task in a deadline driven environment
  • Ability to make independent decisions regarding matters of significance
  • Work with little to no supervision
  • Ability to work outside core business hours as needed
  • Able to work in a team environment and interact positively with team members
  • Goal oriented, with excellent time management and organizational skills
  • Excellent interpersonal skills, with ability to interact effectively and work efficiently with people at all levels in an organization
  • Excellent verbal & written communication skills
  • Keenly attentive to detail
  • Ability to keep sensitive information confidential
  • High level of proficiency with PC based software programs

Education

High school diploma or equivalent


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