Account Receivable Specialist

Medical Office: Accounts Receivable Specialist

Job type

• Full-time

Shift and schedule

• M-F 8am – 5pm

Benefits

• 401(k) 
• Health insurance
• PTO

Full job description

ESSENTIAL FUNCTIONS

• Strong communication, organization and customer service skills
• Medical office or HealthCare experience preferred
• Insurance Verification, eligibility and authorization experience
• Insurance Portal experience uploading appeals and reconsiderations
• Monthly patient statements and mailings
• Clearinghouse experience: ERA/EDI
• Communicates denial errors and patterns to Senior Leadership.
• Work queues regularly to ensure claim denials are being worked in a timely manner.
• Assist in identifying complex insurance, patient, and other issues when necessary.
• Experience in posting insurance remits and patient payments, balancing the deposit and online banking
• Working up patient estimates for treatment and calling patients to discuss the estimate that includes their out of pocket expenses, deductible and/or copay/coinsurances due.
• Call patients to discuss past due balances on self-pay receivables to help resolve AR. 
• Communicate with payers and know when and how to escalate payer issues and appeals.
• Must be able to meet deadlines given by Manager or Senior Leadership.
• Research and resolve discrepancies in a timely manner.
• Works with sensitive and confidential materials and must be able to exercise discretion.
• Verifies and updates patient registration information in the practice management system.
• The job holder must demonstrate current competencies for this position.

EDUCATION

• High School diploma or equivalent working knowledge preferred.

EXPERIENCE

• Prefer candidates to have A/R experience greater than 3 years

PREQUIREMENTS

• Background and drug screenings are required.  This includes cotinine testing as we are a nicotine free facility.
• Demonstrated successful healthcare revenue cycle experience.
• Experience analyzing and trending financial data.
• Excellent written and verbal communication and presentation skills.
• Excellent critical thinking, troubleshooting, and analytical skills.
• Excellent interpersonal skills including conflict management
• Experience working in Excel 
• Well organized and able to meet deadlines.
• Excellent attention to detail.

KNOWLEDGE

• Knowledge of claims processing and editing systems.
• Strong knowledge of Medicare and Medicaid payer guidelines.
• Knowledge of CPT, HCPCS, and diagnosis coding.

SKILLS

• Skill in effective data collection and analysis.
• Interpersonal skills essential to communicate effectively, written and oral, with internal and external personnel at various levels.
• Skill in effectively managing multiple projects simultaneously.

ABILITIES

• Ability to multi-task and work well under pressure.
• Ability to analyze problems and interpret information and to prioritize and reprioritize, as necessary.
• Ability to work independently, and as part of a team.
• Ability to read and interpret payer contracts.

ENVIRONMENTAL WORKING CONDITIONS

• Normal office environment.

PHYSICAL/MENTAL DEMANDS

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.