Accounts Receivable Specialist

Description: Position Description: The AR (Accounts Receivable) Specialist position is a part of the Insurance Collections Department that assists with Insurance Collections through routine follow up, pre authorizations, and denial management techniques. Position Duties: This position requires the following to successfully execute all job functions: Obtains and documents bill payment status Send medical records to insurance payers Resolves AR denials correctly Sending pre- drafted appeal letters Confirm receipt of claim documents Adjusts balances according to any applicable fee schedules Confirm correct payment of claims Request supporting documentation from insurance carriers Provide detailed chart and encounter notes Document payments made to patients, attorney, and expected payments to our facilities Obtain missing information from patients Answer Billing/Collections line and “Zero line for all corporate departments Answer patient phone calls regarding billing questions Provide explanations of billing Respond to group emails and department requests in a timely manner Confirm, document, and obtain prior authorization of procedures Review and correct electronic claim errors Submit Provider maintenance. Ensure all surgical charts have complete verification details available in chart Coordinate with other AR Specials and departments to resolve billing errors Complete all other assigned tasks from management after completion of all previously mentioned duties. Position Expectations: To perform the position successfully, an individual is expected to: Understand and manage AR denials Understand medical terminology and practices Be detail oriented and focused Use knowledge of system functions and Microsoft suite. Understand revenue cycle Be goal oriented and metric focused Work well with others Maintain a positive attitude Use effective communication methods Multi-task Use resources available to overturn AR denials Monitor emails closely Position Metrics: The execution of the position is quantifiably measured by the following: Production Department Collections Company collections #LI-IB1 Requirements: Education: High School diploma; additional certifications or degrees are a plus but not required Experience: 1 + years of experience in Insurance collections or medical billing. Required Skills: Understanding of Insurance collections process. Ability, and willingness to meet deadlines. Strong attention to detail. Basic knowledge of Microsoft suite. Team player attitude, and the ability to cohesively work with colleagues on all levels. Position Miscellaneous: Hourly; Non-Exempt 40 hours per week; extended work hours may be approved by management to meet deadlines Successful attainment of individual and department goals is critical. Additional duties can be assigned by management upon completion of normal position duties within reason. Physical Demands: Frequent sitting; Frequent manipulation of documents. Frequent typing or use of keyboard. Occasional lifting up to 10-15 pounds. Occasional stooping and bending.