What are the responsibilities and job description for the Medical Accounts Receivable Specialist position at Rowan Diagnostic Clinic, PA?
Medical Accounts Receivable Specialist is responsible for managing and collecting outstanding insurance balances owed to a healthcare provider by following up on submitted insurance claims, resolving billing discrepancies, appealing denied claims, and ensuring timely reimbursement by adhering to medical billing regulations and coding guidelines; essentially, they play a key role in the revenue cycle management of a healthcare facility by maximizing the collection of outstanding accounts receivable.
Key responsibilities of a medical AR specialist may include:
- Denial management: Analyzing claim denials, identifying the reason for rejection, and taking appropriate actions such as correcting coding errors, submitting appeals, or contacting the payers for clarification.
- Reporting and analysis: Generating reports on accounts receivable trends, identifying areas for improvement, and proposing strategies to optimize collection rates.
- Compliance adherence: Staying current with healthcare regulations, including HIPAA and coding guidelines (ICD-10, CPT) to ensure accurate billing practices.
- Payer communication: Contacting insurance companies to resolve billing issues, clarify claim status, and advocate for timely payment.
Required skills and qualifications:
- Medical billing knowledge:
Thorough understanding of medical billing codes (CPT, ICD-10, HCPCS) and insurance payer guidelines.
- Strong analytical skills:
Ability to review complex medical records and identify potential billing errors.
- Excellent communication skills:
Effective communication with patients, insurance companies, and internal stakeholders to resolve billing issues.
- Attention to detail:
High level of accuracy required to ensure correct claim submission and avoid billing errors.
- Proficiency with billing software:
Familiarity with electronic health records (EHR) and billing systems to submit claims electronically.
Job Type: Full-time
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Experience:
- Accounts receivable: 1 year (Required)
- Medical billing: 1 year (Required)
Ability to Commute:
- Salisbury, NC 28144 (Required)
Ability to Relocate:
- Salisbury, NC 28144: Relocate before starting work (Required)
Work Location: In person