Accounts Receivable Specialist

Overview

Job Purpose:

Maintenance of private Insurance accounts for patient billing and to assist the AR Manager/Supervisor in managing the Accounts Receivables for the physicians/clinics/clients that are assigned to them, by reducing the AR, resolving claim denials, and following payer specific processes surrounding the AR while managing their assigned task EPM inventory.

• Work/Call on claims & denials to fully resolve claim
• Prioritize work load balance
• Communicate with clients via email or task message
• Provide feedback to team lead regarding denial trends
• Maintain strict confidentiality within medical practice and HIPAA compliance
• Maintain productivity standards and goals set by the department and/or manager.
• Maintain standard quality measures and goals.
• Attend Meetings as required and/or participate in various committees as required
• Other duties as assigned by, Team Lead, Manager, Director, VP RCM.

• High school diploma/GED
• Preferably two years’ prior experience in physician professional billing (Managed Care, Commercial and or CMS Part B claims adjudication, including but not limited to:
• Explanation of Benefit forms (EOB)
• Credit balances (discounts and refunds)
• Insurance carrier billing requirements
• Collections
• Familiarity of payer provider enrollment
• CPT & ICD
  10 Coding

• Accountability and Self-Management:
  Must be detail-oriented and organized; a self-starter capable of tracking to deadlines and meeting goals with little supervision required; a high level of analytical and problem solving skills is expected
• Team Player:
  Ability to work autonomously and as a team player
• Communication:
  Excellent communication, customer service, and organizational skills; strong verbal and written communications
• Innovation and Problem Solving:
  Attention to detail and moderate analytical and problem solving skills is expected
• Computer
  
  Skills:
  
  Must possess general office skills and computer knowledge; strong working knowledge of the Aprima PM practice management system and/or GE Centricity Business system and coordinating modules, is preferred; MS Excel and MS Word

• May require sitting for long periods of time; also, stooping, bending, and reaching for files and supplies. Requires manual dexterity sufficient to operate a computer keyboard, answer a telephone, and run a copier and other office equipment as necessary. Employee must participate to help maintain the desirable work environment created by the management and company officials.

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