Accounts Receivable Specialist

Overview

The Accounts Receivable Specialist reviews claims to ensure maximum reimbursement by following up with insurance carriers and patients and identifies trends in reporting for escalation to the lead or manager.

The Accounts Receivable Specialist reports directly to the Accounts Receivable Manager. This position collaborates with other Emergicon personnel in all departments.

• Manage all claims over 60 days on the A/R reports in a timely manner
• Work assigned denials and correspondence
• Utilize clearinghouse and insurance portals for claim status
• Report all trends detected in A/R management
• Prepare corrected claims and appeals, as needed
• Process inbound and outbound calls as needed to insurance carriers
• Follow all state and federal collections and HIPAA laws
• Align with Emergicon’s core values and behaviors
• Other duties as assigned

• Maintain any certification applicable to job functions
• Computer literacy
• Ability to communicate effectively and in a professional manner with patients, insurance carriers, co-workers, management, and others
• Detail oriented
• Knowledge of managed care plans, insurance, medical terminology
• Knowledge of reimbursement fee schedules (Medicare and Medicaid)
• Knowledge of refund processes and requirements
• Ability to establish/maintain cooperative working relationships with staff
• Ability to prioritize and multi-task

Experience in Medicare A/R, Commercial insurances, appeals, correspondence, and denials is a plus.